Intraparenchymal intracranial pressure monitoring in patients with acute liver failure

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Intraparenchymal intracranial pressure monitoring in patients with acute liver failure.

BACKGROUND Elevated intracranial pressure (ICP) is a common cause of death in acute liver failure (ALF) and is determinant for decision-making regarding the timing of liver transplantation. The recommended type ICP monitoring device is controversial in ALF patients. Epidural devices had less risk of hemorrhagic complications, but they are less reliable than intraparenchymal ones. METHOD Twent...

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Acute liver failure (ALF) is a rare condition characterized by the development of encephalopathy in the absence of chronic liver disease. Cerebral edema occurs in up to 80% of patients with Grade IV encephalopathy. In the current prospective randomized controlled clinical trial, we examined the effect of induced hypernatremia on the incidence of intracranial hypertension (IH) in patients with A...

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Protocol based invasive intracranial pressure monitoring in acute liver failure: feasibility, safety and impact on management

BACKGROUND Acute liver failure (ALF) may result in elevated intracranial pressure (ICP). While invasive ICP monitoring (IICPM) may have a role in ALF management, these patients are typically coagulopathic and at risk for intracranial hemorrhage (ICH). Contemporary ICP monitoring techniques and coagulopathy reversal strategies may be associated with a lower risk of hemorrhage. Our objective was ...

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Association of reduced extracellular brain ammonia, lactate, and intracranial pressure in pigs with acute liver failure.

UNLABELLED We previously demonstrated in pigs with acute liver failure (ALF) that albumin dialysis using the molecular adsorbents recirculating system (MARS) attenuated a rise in intracranial pressure (ICP). This was independent of changes in arterial ammonia, cerebral blood flow and inflammation, allowing alternative hypotheses to be tested. The aims of the present study were to determine whet...

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Intracranial Pressure Monitoring for Pediatric Acute Encephalopathy.

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ژورنال

عنوان ژورنال: Arquivos de Neuro-Psiquiatria

سال: 2008

ISSN: 0004-282X

DOI: 10.1590/s0004-282x2008000300018