This book focuses on the critical care of the patient with acute, acute on chronic and chronic liver failure as well as the peri-operative care of the patient with liver transplantation. Each of these disease processes is unique in pathophysiological manifestations, underpinnings of physiology and treatment options.Patients with acute, chronic or acute on chronic liver failure are a growing fraction of ICU admissions. Hepatic Critical Care serves as the essential reference for both practicing intensivists at community hospitals and tertiary referral centers. This textbook is also targeted towards trainees specifically interested in taking care of patients with liver disease and liver transplantation.
Normal Hepatic Function and Physiology.- Circulatory Physiology in Liver Disease.- Respiratory Physiology in Liver Disease.- Gastrointestinal and Hepatic Physiology in Liver Disease.- Renal Physiology in Acute and Chronic Liver Disease.- Cerebrovascular Physiology in Liver Disease.- Definition, Epidemiology, Natural History and Prognostication of Liver Disease.- Brain and the Liver- Cerebral Edema, Hepatic Encephalopathy and Beyond.- Cardiovascular Alterations in Acute and Chronic Liver Failure.- Gastrointestinal Complications in Liver Disease.- Respiratory Complications in Acute and Chronic Liver Disease.- Renal Complications in Acute and Chronic Liver Disease.- Hematological Complications in Liver Disease.- Nutrition in Liver Disease.- Infectious Complications in Liver Disease.- Pharmacological Considerations in Liver Failure.- Non Transplant Surgical Considerations: Hepatic Surgery and Liver Trauma.- Anesthetic and Perioperative Considerations in the patient with liver disease (Non Transplant).- Perioperative Considerations during Liver Transplantation.- Use of Extra-Corporeal Liver Support Therapies.- Assessing Liver Function in the Critically Ill Patient.