• Der Anaesthesist · May 2022

    [Management of acutely decompensated liver cirrhosis in emergency and critical care medicine].

    • Philipp Kasper, Frank Tacke, and Guido Michels.
    • Medizinische Fakultät und Uniklinik Köln, Klinik für Gastroenterologie und Hepatologie, Universität zu Köln, Köln, Deutschland. philipp.kasper@uk-koeln.de.
    • Anaesthesist. 2022 May 1; 71 (5): 403-412.

    AbstractAcute decompensation in patients with liver cirrhosis is characterized by the development of ascites, gastrointestinal bleeding, hepatic encephalopathy, or bacterial infection and is often accompanied by further extrahepatic organ dysfunction. Since critically ill patients with decompensated cirrhosis have a high mortality risk, rapid identification and treatment of the triggering event of decompensation (e.g., infection, hemorrhage, drugs) as well as specific measures for the treatment of concomitant extrahepatic organ dysfunctions are essential in order to improve the patient's prognosis and to prevent the development of acute-on-chronic liver failure (ACLF).© 2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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