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Pediatrics
One-Hour Concurrent Session

Joint SCCM-ESPNIC Session: Because You Can Does Not Mean You Should: How Far Can One Go in Liver ICU?

Tuesday, January 23, 2024
9:45 AM – 10:45 AM MT
Location: West-301D
CE: 1.0

Advances in the management of liver failure in children include advanced diagnostics and improved understanding of the pathophysiology of multiorgan failure in children with improved outcomes, both with and without transplant. However, there still remains a subset of patients for whom liver transplant might be contraindicated or interventions such as extracorporeal membrane oxygenation might not be indicated. This session will address the futility of some of these interventions and the judicious use of resources. Engage on social media about this session using the hashtag #SCCMSoMe.

Learning Objectives:

  • Rationalize the use of various medical interventions in children with acute liver failure in multiorgan failure
  • Apply the criteria and candidacy for extracorporeal membrane oxygenation in children with liver failure
  • Analyze the pros and cons of listing a patient with liver failure for liver transplant
  • Discuss the use of various prognostic scores in children with liver failure to help guide liver transplant candidacy

Presentations:

  • ECMO Candidacy for Patients With Liver Disease: Is This Stretching Too Far?
  • Acute Kidney Injury in Liver Disease: Impact on Short- and Long-Term Outcomes
  • Special Considerations in Sedation and Analgesia in Children With Liver Failure