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The Indian Journal of Pediatrics

, Volume 77, Issue 11, pp 1288–1295 | Cite as

Intensive Care Management of Children with Acute Liver Failure

  • Vidyut Bhatia
  • Rakesh LodhaEmail author
Symposium on PICU Protocols of AIIMS

Abstract

Acute liver failure is an uncommon condition associated with multi organ involvement, high morbidity and mortality. Etiology of acute liver failure varies with age and geographical location. Most cases of acute liver failure in India are due to infectious causes predominantly viral hepatitis. A significant group with indeterminate causation remains, despite careful investigation. The etiology of acute liver failure in infants is largely metabolic. The mainstay of management is supportive care in an intensive care unit. Monitoring of clinical and biochemical parameters is done frequently until the patient becomes stable. Mortality is predominantly due to raised intracranial pressure, infections and multi-organ failure. Liver transplant is an important life saving procedure for children with acute liver failure.

Keywords

Acute liver failure Viral hepatitis Intensive care management 

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Copyright information

© Dr. K C Chaudhuri Foundation 2010

Authors and Affiliations

  1. 1.Department of PediatricsAll India Institute of Medical SciencesNew DelhiIndia

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