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David Anderson gives an entertaining and informative talk about Acute Liver Failure at BCC4. He covers thinking about diagnosis, management and prognosis of acute liver failure. The podcast for this presentation is found at www.intensivecarenetwork.com
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Acuteliver
Failure
David AndersonAdvanced Trainee in Intensive Care MedicineAdvanced Trainee in Palliative Medicine
Case
Jaundice
DefinitionEncephalopat
hy
A short time after the onset of
Coagulopathyhttp://www.capitalpath.com.au/about-us/laboratory-
information.aspx
http://patient.co.uk
Encephalopathy
?Aetiology
http://herron.com.auhttp://giantmicrobes.comhttp://onlinepillspro.comhttp://en.wikipedia.orghttp://indyprops.com
Call for Help
http://8774e4voip.com/blog/polycom-soundpoint-ip-bat-phone/
Full Blood Count
Biochemistry
LFTs
Coags (incl fibrinogen)
Group and Screen
Blood Gas (with Lactate)
Paracetamol Level
Viral Hepatitis Serologybeta HCG*
Ammonia
Autoimmune Screen
HIV
Amylase/Lipase
Send Labs
http://www.npsg.uwaterloo.ca/people/daniel/rendering/
Give NAC
http://nutralife.com
ICU Housekeeping
http://allposters.com.au
http://mooselicker.wordpress.com/2012/09/24/continuations/
Early Vascular Access
http://medgadget.com
Haemodynamics
http://lcars47.comhttp://
transfusion.com.auhttp://hospira.com
http://indiamart.comhttp://healthfirst.com
Encephalopathy
http://www.urmc.rochester.edu/hslt/courses/neuroslides/lab2a/slide063.cfm
Encephalopathy
?http://valleyvet.com
http://nursingcrib.comhttp://hexal-elements.de
Start CRRT Early
http://gambro.com
Ammonia
http://www.luckymojo.com/ammonia.html
Coagulation
http://varnerlab.org
TEG
Patton et al, 2012http://www.aacc.org/publications/cln/2011/April/Pages/PlateletFunction.aspx
Microbiology
http://giantmicrobes.com
Transplant
http://liverfoundation.org.au
Cholongitas et al, 2012
Prognosis
Palliative Care
Extracorporeal Support?
Summary
@expensivecarehttp://expensivecare.com/2013/08/25/alf