Management of Decompensated Cirrhosis in the Surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document

Authors

Anupamaa Seshadri, Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Rachel Appelbaum, Department of Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
Samuel P. Carmichael, Department of Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
Joseph Cuschieri, Department of Surgery, San Francisco General Hospital and Trauma Center, San Francisco, California, USA.
Jason Hoth, Department of Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
Krista L. Kaups, Department of Surgery, UCSF Fresno, Fresno, California, USA.
Joseph Rappold, Maine Medical Center

Document Type

Article

Publication Date

8-1-2022

Institution/Department

Surgery

Journal Title

Trauma Surgery & Acute Care Open

Abstract

Management of decompensated cirrhosis (DC) can be challenging for the surgical intensivist. Management of DC is often complicated by ascites, coagulopathy, hepatic encephalopathy, gastrointestinal bleeding, hepatorenal syndrome, and difficulty assessing volume status. This Clinical Consensus Document created by the American Association for the Surgery of Trauma Critical Care Committee reviews practical clinical questions about the critical care management of patients with DC to facilitate best practices by the bedside provider.

First Page

e000936

Recommended Citation

Seshadri A, Appelbaum R, Carmichael SP 2nd, et al. Management of Decompensated Cirrhosis in the Surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document. Trauma Surg Acute Care Open. 2022;7(1):e000936. Published 2022 Aug 1. doi:10.1136/tsaco-2022-000936