Acute Respiratory Failure and Pulmonary Complications in End-Stage Liver Disease

被引:7
作者
Qadir, Nida [1 ]
Wang, Tisha [1 ]
Barjaktarevic, Igor [1 ]
Chang, Steven Y. [1 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div Pulm & Crit Care Med, Los Angeles, CA 90095 USA
关键词
acute respiratory failure; end-stage liver disease; liver transplantation; cirrhosis; acute liver failure; hepatopulmonary syndrome; portopulmonary hypertension; hepatic hydrothorax; ACUTE LUNG INJURY; PROLONGED MECHANICAL VENTILATION; EXPIRATORY PRESSURE PEEP; LONG-TERM OUTCOMES; FLOW NASAL CANNULA; HEPATOPULMONARY SYNDROME; HEPATIC HYDROTHORAX; DISTRESS-SYNDROME; PORTOPULMONARY HYPERTENSION; CIRRHOTIC-PATIENTS;
D O I
10.1055/s-0038-1673638
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Acute respiratory failure has a high mortality in patients with end-stage liver disease (ESLD). These patients may develop acute respiratory failure for reasons specific to advanced liver disease, including hepatopulmonary syndrome, portopulmonary hypertension, and hepatic hydrothorax. They may also develop respiratory complications due to conditions seen in the general intensive care unit population to which ESLD patients are at higher risk, including infection, volume overload, and the acute respiratory distress syndrome. Management of these patients is complicated and multifaceted, and a comprehensive understanding of the etiologies and treatment of acute respiratory failure is critical in this high-risk patient population. This article reviews current evidence surrounding the prevalence, management, and complications of the various etiologies of acute respiratory failure in ESLD patients.
引用
收藏
页码:546 / 555
页数:10
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