The liver in critical illness
Damm TW, Kramer DJ. The Liver in Critical Illness. Crit Care Clin. 2016;32(3):425-38. DOI: 10.1016/j.ccc.2016.02.002
Caring for critically ill patients with acute and/or chronic liver dysfunction poses a unique challenge. Proper resuscitation and early consideration for transfer to liver transplant centers have resulted in improved outcomes. Liver support devices and cellular models have not yet shown mortality benefit, but they hold promise in the critical care of patients with liver disease. This article reviews pertinent anatomic and physiologic considerations of the liver in critical illness, followed by a selective review of associated organ dysfunction.