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Minerva Anestesiologica 2018 August;84(8):970-9

DOI: 10.23736/S0375-9393.18.12343-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Hepatic encephalopathy and cirrhotic cardiomyopathy in Intensive Care Unit

Giuliana SCARPATI 1, Edoardo DE ROBERTIS 2 , Ciro ESPOSITO 3, Ornella PIAZZA 1

1 Anesthesia and Intensive Care, University of Salerno, Salerno, Italy; 2 Department of Neurosciences, Reproductive and Odonto-Stomatological Sciences, University Hospital Federico II, Naples, Italy; 3 Anesthesia and Intensive Care, Cardarelli Hospital, Naples, Italy



Acute and chronic liver diseases may escalate to hepatic encephalopathy (HE) and multiple organ failure, requiring admission and organ support in Intensive Care Unit (ICU). Hepatic dysfunction in ICU is a broad and complex topic; unfortunately, up to now, the understanding of its underlying pathophysiology is far from complete. HE and cirrhotic cardiomyopathy (CCM) need timely diagnostic and therapeutic measures aiming at the identification and elimination of causative factors, to improve patients’ prognosis. Through this short review, we tried to answer the most asked questions about clinical features of HE and CCM at the ICU stage.


KEY WORDS: Liver failure - Hepatic encephalopathy - Cardiomyopathies

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