Case of the Month #16 - cerebral oedema

Published 02/02/2022

Take home messages

  • Do not correct coagulopathy in patients with fulminant liver failure unless overt bleeding
  • Patients assessed for transplantation using Kings College Criteria
  • Transfer patients to Regional Liver Units early in a safe way with experienced anaesthetic /intensive care presence
  • Consider intubation prior to transfer, these patients deteriorate very quickly
  • Maintain therapeutic hypernatraemia and avoid hypotonic dextrose infusions
  • Be aware of the risk factors for cerebral oedema and the need for neuroprotective measures