Intensive Care Medicine

, Volume 9, Issue 5, pp 271–273

Efficiency of respiratory assistance in cirrhotic patients with liver failure

  • G. Goldfarb
  • O. Nouel
  • Th. Poynard
  • B. Rueff
Original Articles

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 

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Copyright information

© Springer-Verlag 1983

Authors and Affiliations

  • G. Goldfarb
    • 1
  • O. Nouel
    • 2
  • Th. Poynard
    • 2
  • B. Rueff
    • 2
  1. 1.Department of Anesthesiology, UER Xavier Bichat, University of Paris 7Beaujon HospitalClichyFrance
  2. 2.Service de réanimation des maladies du foie et des hémorragies digestivesBeaujon HospitalClichyFrance

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