Mean pulmonary artery pressure (normal 9–18 mmHg) Pulmonary vascular resistance (normal < 2 Wood units) Cardiac output (normal 4.0–8.0 L/min) Pulmonary artery wedge pressure (normal 6–12 mmHg) Vasoconstriction with vasoproliferation (POPH) Elevated…
Physiologic abnormality Diagnostic criteria Impaired gas exchange Arterial blood gas sampling while breathing ambient air with: PaO2 < 80 mm Hg or Alveolar–arterial oxygen gradient ≥ 15 mmHg if age <65 years,…
Device Bioreactor detail Additional treatments Cell type Cell-matrix attachment Configuration HepatAssist BAL Porcine hepatocytes Microcarrier attached Hollow fibre cartridge/chamber Plasmapheresis and adsorption AMC–BAL (Academic medical centre–bio artificial liver) Porcine hepatocytes…
GAVE PHG Portal hypertension (PHTN) PHTN is not necessary for the development of GAVE [6, 7] 70 % of patients with PHTN develop PHG [1], degree of PHTN correlates…
Fig. 33.1 Many patients with cirrhosis fail to receive evidence-based treatments [3–6]. HCC hepatocellular carcinoma, SBP spontaneous bacterial peritonitis, Abx antibiotics Measuring Quality Another key feature of the QI definition…
Fig. 13.1 The pathophysiology of ascites. RAAS renin–angiotensin–aldosterone system, ADH antidiuretic hormone, NO nitric oxide In an effort to maintain homeostasis, this new altered hemodynamic state and renal response results…
Fig. 11.1 Classification of gastric varices. Gastroesophageal varices: lesser curve GOV1 and fundal GOV2. Isolated gastric varices; fundal IGV1 and other IGV2. Reproduced with permission from John Wiley and Sons…
Grade 1. Cross-sectional obstruction of less than 50 % of the portal vein lumen Minimal or absent extension into the superior mesenteric vein Grade 2. Cross-sectional obstruction of more than…
A. Obtain an advance directive; if not available and the patient is competent, encourage one be executed B. Begin planning ahead for end-of-life issues C. Anticipate and schedule regular reevaluation…
Poor performance status (palliative performance scale and Karnofsky scale) Advanced age Malnutrition Comorbid illness Increasing organ dysfunction Hospitalization for acute decompensation Principles of Palliative Care Palliative care is rooted in…
