Current opinion in critical care
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The aim of this article is to provide the reader with an overview of established standards of care and to summarize important newer research findings in acute liver failure (ALF). ⋯ Best practice in the care of patients with ALF continues to evolve with ongoing improvement in survival. Survival in these patients is expected to improve further with refinement of medical supportive care and more accurate identification of transplant candidacy.
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Curr Opin Crit Care · Apr 2020
ReviewManagement of severe upper gastrointestinal bleeding in the ICU.
Upper gastrointestinal bleeding (UGIB) is a common condition that can lead to significant morbidity and mortality. Critical care physicians usually get involved in the care of patients with severe UGIB that is associated with hemodynamic compromise. We aim to provide the readers with evidence-based review of the management of patients with severe UGIB. ⋯ The management of severe UGIB requires multidisciplinary collaboration, prompt recognition and resuscitation, carful use of blood products, early correction of coagulopathy, and early endoscopic or radiologic interventions.
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The purpose of this review is to provide an overview of the pathophysiology of intraabdominal hypertension/compartment syndrome and to review the recent advances in the areas of evaluation and management of this disorder. ⋯ IAH is common in critically ill patients and portends a high mortality rate. Prevention and early recognition are key in minimizing adverse events.