Intensive Care Medicine

, Volume 9, Issue 5, pp 271–273

Efficiency of respiratory assistance in cirrhotic patients with liver failure

Authors

  • G. Goldfarb
    • Department of Anesthesiology, UER Xavier Bichat, University of Paris 7Beaujon Hospital
  • O. Nouel
    • Service de réanimation des maladies du foie et des hémorragies digestivesBeaujon Hospital
  • Th. Poynard
    • Service de réanimation des maladies du foie et des hémorragies digestivesBeaujon Hospital
  • B. Rueff
    • Service de réanimation des maladies du foie et des hémorragies digestivesBeaujon Hospital
Original Articles

DOI: 10.1007/BF01691253

Cite this article as:
Goldfarb, G., Nouel, O., Poynard, T. et al. Intensive Care Med (1983) 9: 271. doi:10.1007/BF01691253

Abstract

In a 25-month period, 100 cirrhotic patients, in our intensive care unit (ICU) needed endotracheal intubation and mechanical ventilation. The overall mortality rate was 89%; the mortality rate was 100% among patients with septic shock and/or superimposed acute hepatitis and/or severe cirrhosis defined with clinical signs: jaundice and/or ascites and/or spontaneous hepatic encephalopathy and/or severe malnutrition. With these prognostic indices, using Bayes theorem, the probability of fatal evolution ranges from 95%–100% (α=5%). These results allow a group of patients with high cost and poor prognosis to be defined.

Key words

Ventilation Cirrhosis Hepatic coma Septic shock ICU mortality

Copyright information

© Springer-Verlag 1983