Each patient in the intensive care unit (ICU) must be admitted by one of the clinical departments according to the leading syndrome. The attending physician (usually the chief of the department), not an intensivist, develops the general treatment plan and prognosis, both of which must be documented in the chart. The intensivist on duty (me) monitors the patient’s vital functions (e.g., hemodynamics, perfusion, oxygenation, diuresis) and carries out the treatment plan of the responsible attending. A big problem is that there are no standards of care in our ICU, only recommendations and sometimes guidelines. Care is largely guided by the personal experiences of the intensivist, based on the range of the hospital’s resources.
KeywordsIntensive Care Unit Continuous Renal Replacement Therapy Hepatorenal Syndrome Conventional Mechanical Ventilation Hepatic Coma
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