This session aims to highlight the current opinions and evidence base for treating GI and hepatic dysfunction in ICU. The topics cover aspects of care often questioned and aim to provide practical expert advice on recommended management, including when to refer patients for tertiary management.
Learning Objectives
- Identify the key differences between ALF and ACLF
- Develop a structure for management of renal dysfunction in patients with liver disease
- Recognise the impact of ITU survival after liver failure
- Review the evidence behind feeding practises in ITU
- Develop confidence in approaching resuscitation and management of GI bleeding and pancreatitis in the ITU
- Discuss the difficulties in accurately prognosticating in the current era
Programme
09:30
Welcome
Tasneem Pirani
09:40
Acute Liver failure –recognition and management
- Definition and epidemiology
- Focus of medical management
- When to refer to specialist centre
TBC
10:15
Q&A
10:25
Surviving ITU after liver failure: mind, body and future
- Patient story
- Longitudinal follow-up
TBC
11:15
Q&A
11:25
Break
11:45
Hepato-renal syndrome – beyond terlipressin
- Definition and diagnosis
- Prognosis of HR
TBC
12:15
Q&A
12:25
Acute on Chronic Liver failure– a MDT approach to management in ICU
- Best practice advice for Mx in non transplant centre
- When to refer and consider transplant
- Collaborative approach to management
TBC
13:00
Q&A
13:10
Lunch
14:00
Nutritional assessment and feeding in the ICU – Timing, mode and composition and impact on recovery
- Current evidence based recommendations
- Data on long term outcomes
- Where evidence is lacking
TBC
14:35
Q&A
14:45
Gastrointestinal bleeding: Resuscitation, ideal investigation and beyond
- Commonest causes of bleeding
- Resuscitation goals
- Timing of endoscopy
- Other Mx considerations
TBC
15:20
Q&A
15:30
Acute Pancreatitis in the ICU – controversies, challenges and outcomes
TBC
16:05
Q&A
16:15
Closing Remarks
17:00
Close
Group bookings
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Contact us
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Telephone: (+44) 0207 280 4350
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