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Acute Liver Failure, An Issue of Clinics in Liver Disease, E-Book

Acute Liver Failure, An Issue of Clinics in Liver Disease, E-Book

Nikolaos T. Pyrsopoulos

(2018)

Additional Information

Book Details

Abstract

Dr. Pyrsopoulos has assembled the top authors in the field to provide current reviews on acute liver failure, to be the first time this topic is addressed in one volume. Topics are devoted to Classification and Epidemiologic Aspects of Acute Liver Failure; Acute Liver Failure: Mechanisms of disease and multi-systemic involvement; The Pathology of Acute Liver Failure; Liver Regeneration in the Acute Liver Failure Patient; Viral Hepatitis and Acute Liver Failure: Still a Problem; Drug- induced Liver Injury and Acute Liver Failure; Acetaminophen and Acute Liver Failure; Non-Viral Or Drug-Induced Etiologies of Acute Liver Failure; The Clinical Spectrum and Manifestations of Acute Liver Failure; Non ICU Management of Acute Liver Failure; Management of Acute Liver Failure in the ICU Setting; Prognostic Models of Acute Liver Failure; The Role of Liver Transplantation in Acute Liver Failure; and Future Approaches and Therapeutic Modalities for Acute Liver Failure. Readers will come away with a current point of view about how to approach and manage the patient with acute liver failure.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Acute Liver Failure\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Preface: Acute Liver Failure vii
Classification and Epidemiologic Aspects of Acute Liver Failure vii
Acute Liver Failure: Mechanisms of Disease and Multisystemic Involvement vii
The Pathology of Acute Liver Failure vii
Liver Regeneration in the Acute Liver Failure Patient vii
Viral Hepatitis and Acute Liver Failure: Still a Problem viii
Nonacetaminophen Drug-Induced Acute Liver Failure viii
Acetaminophen (APAP or N-Acetyl-p-Aminophenol) and Acute Liver Failure viii
Nonviral or Drug-Induced Etiologies of Acute Liver Failure viii
The Clinical Spectrum and Manifestations of Acute Liver Failure ix
Prognostic Models in Acute Liver Failure ix
Non–Intensive Care Unit Management of Acute Liver Failure ix
Management of Acute Liver Failure in the Intensive Care Unit Setting x
Liver Transplantation for Acute Liver Failure x
Future Approaches and Therapeutic Modalities for Acute Liver Failure x
CLINICS IN LIVER DISEASE\r xi
FORTHCOMING ISSUES xi
August 2018 xi
November 2018 xi
February 2019 xi
RECENT ISSUES xi
February 2018 xi
November 2017 xi
August 2017 xi
Preface:\rAcute Liver Failure xiii
Classification and Epidemiologic Aspects of Acute Liver Failure 229
Key points 229
INTRODUCTION 229
CLASSIFICATION 230
EPIDEMIOLOGY 232
Acetaminophen 233
Viral Hepatitis 234
Nonacetaminophen Drug-Induced Liver Injury 235
Other Etiologies 236
SUMMARY 237
REFERENCES 237
Acute Liver Failure 243
Key points 243
INTRODUCTION 243
LIVER 244
IMMUNE SYSTEM 244
BRAIN 246
KIDNEY 249
HEMOSTASIS 250
METABOLISM 252
PULMONARY 252
SUMMARY 253
REFERENCES 253
The Pathology of Acute Liver Failure 257
Key points 257
ETIOLOGY 258
PATHOLOGY 261
Gross Pathology 262
Microscopic Pathology 262
Massive hepatic necrosis 262
SUBMASSIVE HEPATIC NECROSIS WITH ZONAL PATTERN 265
Centrilobular Necrosis 265
Midzonal Necrosis 265
Periportal Necrosis 265
Nonzonal Necrosis 265
HEPATITIS PATTERN 266
PATHOLOGIC PREDICTION OF OUTCOME 266
SYSTEMIC COMPLICATIONS 266
SUMMARY 267
REFERENCES 267
Liver Regeneration in the Acute Liver Failure Patient 269
Key points 269
INTRODUCTION 269
BACKGROUND 269
CLASSICAL PATHWAY(S) 270
IMMUNE REGULATION 270
INTRACELLULAR SIGNALS 272
CYTOKINE-MEDIATED PATHWAYS 272
Tumor Necrosis Factor α 272
Interleukin 6 272
GROWTH FACTORS 273
Hepatocyte Growth Factor 273
Epidermal Growth Factor Receptor 273
MICRORNAS 274
METABOLISM 275
PARACRINE MEDIATORS 276
TRANSFORMING GROWTH FACTOR β 276
HEPATOSTAT 277
Hippo/Yap 277
STEM CELLS 279
ACUTE-ON-CHRONIC LIVER FAILURE 280
SUMMARY 280
REFERENCES 281
Viral Hepatitis and Acute Liver Failure 289
Key points 289
INTRODUCTION 289
VIRAL HEPATITIS: EPIDEMIOLOGY AND PATHOGENESIS 290
VIRUS SPECIFIC KEY POINTS 291
Hepatitis A 291
Hepatitis A virus prognosis 291
Hepatitis B 292
Reactivation of latent hepatitis B virus: still a problem 292
Causes and mechanism of hepatitis B virus reactivation 293
Risk factors for hepatitis B virus reactivation 293
Hepatitis B virus prognosis 294
Strategies to prevent hepatitis B virus reactivation 294
Screening 294
Antiviral prophylaxis 294
Management of hepatitis B virus reactivation 295
Treatment of acute liver failure caused by hepatitis B virus 295
Nucleos(t)ide analogues 295
Immune system modulating therapy 295
Hepatitis C 295
Hepatitis D 295
Hepatitis D virus prognosis 296
Treatment of hepatitis D virus 296
Hepatitis E 296
Rare viral agents 297
SUMMARY 297
REFERENCES 297
Nonacetaminophen Drug-Induced Acute Liver Failure 301
Key points 301
INTRODUCTION 301
GLOBAL EPIDEMIOLOGY 302
COMMON AGENTS OF DRUG-INDUCED ACUTE LIVER FAILURE 303
RISK FACTORS FOR DRUG-INDUCED ACUTE LIVER FAILURE 305
Age 305
Gender 306
Race 306
Pharmacologic Factors 307
Host Genetic Factors 307
Risk Factors of Progression to Drug-Induced Acute Liver Failure 308
Drug Use Past Stopping Criteria 308
Underlying Chronic Liver Disease 308
DIAGNOSING DRUG-INDUCED ACUTE LIVER FAILURE (VERSUS SEVERE ACUTE LIVER INJURY) 309
The Peak of Alanine Aminotransferase in Acute Liver Failure Depends on the Etiology 309
TREATMENT OF ACUTE LIVER FAILURE 311
OUTCOMES OF DRUG-INDUCED ACUTE LIVER FAILURE 312
FUTURE DIRECTIONS IN DRUG-INDUCED ACUTE LIVER FAILURE: DIAGNOSIS 315
FUTURE DIRECTIONS IN DRUG-INDUCED ACUTE LIVER FAILURE: TREATMENT 316
SUMMARY 316
REFERENCES 317
Acetaminophen (APAP or N-Acetyl-p-Aminophenol) and Acute Liver Failure 325
Key points 325
INTRODUCTION 325
EPIDEMIOLOGY OF ACETAMINOPHEN OVERDOSE AND ACETAMINOPHEN-INDUCED ACUTE LIVER FAILURE 326
PHARMACOLOGY AND MECHANISM OF ACETAMINOPHEN-INDUCED HEPATOTOXICITY AND LIVER FAILURE 326
INGESTED DOSE AND OTHER FACTORS INFLUENCING ACETAMINOPHEN-INDUCED HEPATOTOXICITY 329
CLINICAL MANIFESTATIONS OF ACETAMINOPHEN-INDUCED HEPATOTOXICITY AND LIVER FAILURE 331
The 4 Classic Stages of Acetaminophen Hepatotoxicity 331
Patterns of Ingestion: Intentional Versus Unintentional Overdoses 332
Acetaminophen Combination Products 332
EVALUATIONS FOR PATIENTS WITH ACETAMINOPHEN-INDUCED HEPATOTOXICITY AND LIVER FAILURE 333
Role of Acetaminophen Adducts and Other Serum Biomarkers 333
MANAGEMENT OF ACETAMINOPHEN-INDUCED LIVER FAILURE 334
N-ACETYLCYSTEINE 334
Mechanism of Actions and Clinical Efficacy 334
Dosage Regimen and Side Effects 335
LIVER TRANSPLANTATION 336
Selection of Patient and Prognostic Systems 336
Clinical Outcomes 338
REFERENCES 339
Nonviral or Drug-Induced Etiologies of Acute Liver Failure 347
Key points 347
INTRODUCTION 347
AUTOIMMUNE HEPATITIS 348
BUDD-CHIARI SYNDROME 349
WILSON DISEASE 351
CONDITIONS DURING PREGNANCY 353
ISCHEMIC HEPATITIS 355
MUSHROOM POISONING 355
SUMMARY 356
REFERENCES 356
The Clinical Spectrum and Manifestations of Acute Liver Failure 361
Key points 361
INTRODUCTION 361
PATHOPHYSIOLOGY 362
CAUSE 362
DIAGNOSIS AND INITIAL EVALUATION 362
DETERMINING CAUSES AND SPECIFIC THERAPIES 364
CLINICAL MANIFESTATIONS AND COMPLICATIONS OF ACUTE LIVER FAILURE 367
Cerebral Edema 367
Infection 369
Coagulopathy and Bleeding 370
Renal Failure 370
Cardiopulmonary Complications 371
Acid-Base and Metabolic Disturbances 371
SUMMARY 371
REFERENCES 372
Prognostic Models in Acute Liver Failure 375
Key points 375
INTRODUCTION 375
CAUSES OF ACUTE LIVER FAILURE 376
DEVELOPMENT OF PROGNOSTIC MODELS FOR ACUTE LIVER FAILURE 377
OTHER CLINICAL INDICATORS OF ACUTE LIVER FAILURE 381
ACUTE ON CHRONIC LIVER FAILURE 381
WEAKNESS OF CURRENT PROGNOSTIC MODELS 383
SUMMARY 384
REFERENCES 384
Non–Intensive Care Unit Management of Acute Liver Failure 389
Key points 389
CAUSES OF ACUTE LIVER FAILURE 390
DIAGNOSIS OF ACUTE LIVER FAILURE 393
TREATMENT OF ACUTE LIVER FAILURE IN NON–INTENSIVE CARE UNIT SETTINGS 393
General Supportive Care in Acute Liver Failure 394
Cause-Specific Interventions in Acute Liver Failure 395
Management of Electrolyte, Acid-Base, and Metabolic Derangements in Acute Liver Failure 396
Hepatic Encephalopathy and Cerebral Edema 396
Infectious Complications 397
PROGNOSTIC MODELS IN ACUTE LIVER FAILURE 397
SUMMARY 398
REFERENCES 398
Management of Acute Liver Failure in the Intensive Care Unit Setting 403
Key points 403
INTRODUCTION 403
DIAGNOSIS OF ACUTE LIVER FAILURE 404
INTRACRANIAL HYPERTENSION 404
Diagnosis of Hepatic Encephalopathy 404
Management of Hepatic Encephalopathy 405
Monitoring Intracranial Pressures 405
Strategies to Maintain Cerebral Perfusion Pressure 405
Mannitol 406
Hypertonic Saline 406
General Management 406
COAGULOPATHY 406
ACUTE KIDNEY INJURY 406
CARDIOVASCULAR AND PULMONARY COMPLICATIONS 407
INFECTIOUS COMPLICATIONS 407
GASTROINTESTINAL BLEEDING AND METABOLIC CONCERNS 408
SUMMARY 408
REFERENCES 408
Liver Transplantation for Acute Liver Failure 409
Key points 409
LIVER TRANSPLANTATION IN THE CONTEXT OF ACUTE LIVER FAILURE 409
OPTIMIZATION OF LISTING CRITERIA 410
Ethical Issues 410
Suggested Approach 410
OPTIMIZING SELECTION FOR TRANSPLANT 411
Liver Allocation 412
Living Donor versus Deceased Donor Liver Transplantation 413
POSTOPERATIVE CARE 414
OUTCOMES 414
SUMMARY 415
REFERENCES 415
Future Approaches and Therapeutic Modalities for Acute Liver Failure 419
Key points 419
INTRODUCTION 419
MOLECULAR ADSORBENT RECIRCULATING SYSTEM 420
Molecular Adsorbent Recirculating System Components 420
EXTRACORPOREAL LIVER ASSIST DEVICE 421
Extracorporeal Circuit 421