Acute-on-chronic liver failure
Definitions, organ failure, early ICU management and transplant thinking.
Knowledge Portal
A brief orientation to each core liver critical care topic, followed by relevant guidelines and position statements, then selected reviews and other useful resources.
Core topics
Each topic page brings together external guidance and carefully selected supporting resources. The Hub summarises the scope of the topic but does not provide a course or curriculum.
Definitions, organ failure, early ICU management and transplant thinking.
Recognition, aetiology, cerebral risk, organ support and emergency transplantation.
Phenotyping kidney injury, HRS-AKI, vasoconstrictors, RRT and transplantation.
Diagnosis, precipitants, ammonia, airway protection and ALF-specific cerebral risk.
Cirrhosis-associated immune dysfunction, resistant organisms and early sepsis care.
Resuscitation, vasoactive therapy, endoscopy, pre-emptive TIPS and rescue options.
Rebalanced haemostasis, test interpretation, procedures, bleeding and thrombosis.
Selection, timing, bridging, perioperative care and early graft complications.
Recognising acute decompensation, treating precipitants and preventing further organ failure.
Diagnosis, severity assessment, corticosteroids, infection, alcohol use disorder and transplantation.
RRT, ammonia clearance, albumin dialysis, plasma exchange and bridge-to-transplant decisions.
Dynamic risk, transplant potential, time-limited ICU trials, communication and palliative care.
Screening, protein and energy delivery, sarcopenia, frailty, prehabilitation and recovery.