In this section
Critical care involves the care of the sickest patients in the hospital. Critically ill patients have usually been through a significant insult to their body (such as trauma, infection, burn) and have developed organ failure and require life-support. Critical Care is the largest theme bringing together clinicians and scientists from diverse backgrounds and includes collaborative research from hospitals throughout north-west London. Investigations range from evaluating biological mechanisms of organ failure through to the development of innovative technologies which allow the short-term and long-term support and recovery of organs.
Many people are exposed to the environment of an Intensive care unit (ICU) either personally or through a family member. It is often a life-changing event and our work aims to reduce this impact facilitating post-ICU recovery.
@article{Vizcaychipi:2007,
author = {Vizcaychipi, MP and Burt, C and Burnstein, R},
journal = {The Internet Journal of Emergency and Intensive Care Medicine™ ISSN: 1092-4051},
title = {Pulmonary embolism: An Unusual Cause Of Acute Liver Failure},
volume = {10},
year = {2007}
}
TY - JOUR
AB - Pulmonary embolism is still a challenging diagnosis and a very high index of suspicion is required. Symptoms and signs of acute right heart failure are still non-specific and often vary according to the precipitating condition. In this particular case, evolving liver failure and severe coagulation disorder as the initial presentation made the management of this patient very challenging and several causes of sudden decompensated liver failure were ruled out. Acute reduction of splanchnic flow was considered but in the context of relative good oxygenation and no history or clinical signs of deep venous thrombosis, the diagnosis of pulmonary embolism was not considered as a primary cause of liver failure and evolving multiple organ failure. Complementary studies, namely echocardiogram and use of a pulmonary artery catheter immediately raised the suspicion of a saddle pulmonary embolus. In view of the findings, an emergency contrast-enhanced spiral computed tomography was performed and the diagnosis of pulmonary embolism was made.
AU - Vizcaychipi,MP
AU - Burt,C
AU - Burnstein,R
PY - 2007///
TI - Pulmonary embolism: An Unusual Cause Of Acute Liver Failure
T2 - The Internet Journal of Emergency and Intensive Care Medicine™ ISSN: 1092-4051
VL - 10
ER -