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- Julia Wendon, William Bernal, Chris Willars, and Georg Auzinger.
- Institute of Liver Studies, Kings College Hospital, Denmark Hill, London, UK. julia.wendon@kcl.ac.uk
- Curr Opin Crit Care. 2011 Oct 1;17(5):533-7.
Purpose Of ReviewThe incidence of cirrhosis is growing steadily and this cohort of patients will present in ever-greater numbers to critical care with acute decompensation, usually secondary to an inter-current event or following elective surgery. This review examines the evidence for treatment options and outcomes.Recent FindingsOutcome of cirrhotics presenting with end-organ dysfunction is steadily improving and their outcomes are not as poor as sometimes suggested. Treatment options for variceal bleeding and renal dysfunction are evolving and outcomes improving.SummaryCritical care support should be offered to patients with cirrhosis and in high-risk variceal bleed patients transhepatic portosystemic shunt should be considered.
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