PedsCrit cover image

PedsCrit

Extracorporeal Liver Support with Dr. Ayse Akcan Arikan -- Part 2

Jun 17, 2024
Dr. Ayse Akcan Arikan discusses the implementation of extracorporeal liver support, management of hepatic encephalopathy, ethical dilemmas in therapy decisions, positive outcomes for teenagers with liver failure, and challenges in providing high-resource therapies to pediatric patients with acute liver failure.
29:46

Podcast summary created with Snipd AI

Quick takeaways

  • Extracorporeal liver support is tailored based on established criteria for acute liver failure patients.
  • Utilizing advanced blood purification therapies in non-transplant candidates raises ethical concerns and requires ongoing discussions.

Deep dives

Implementing Extracorporeal Liver Support

Extracorporeal liver support is implemented based on indications and contraindications at the guest institution. Patients with acute liver failure are considered potential transplant candidates and evaluated for extracorporeal liver support if certain criteria are met. Indications for continuous renal replacement therapy (CRRT) include hyperammonemia, fluid overload, and worsening oxygenation, with specific thresholds for ammonia levels triggering CRRT initiation. Different therapies like therapeutic plasma exchange (TPE) and molecular adsorbent recirculating system (MARS) are tailored based on hepatic encephalopathy severity, with daily TPE procedures with tandem CRRT circuits in place.

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.
App store bannerPlay store banner

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode