Hepatic Critical Care

This book focuses on the critical care of the patient with acute, acute on chronic and chronic liver failure as well as the peri-operative care of the patient with liver transplantation. Each of these disease processes is unique in pathophysiological manifestations, underpinnings of physiology and treatment options.

Patients with acute, chronic or acute on chronic liver failure are a growing fraction of ICU admissions. Hepatic Critical Care serves as the essential reference for both practicing intensivists at community hospitals and tertiary referral centers. This textbook is also targeted towards trainees specifically interested in taking care of patients with liver disease and liver transplantation.

Dr. Nanchal is Associate Professor of Medicine and serves as the director of the medical intensive care unit and critical care fellowship program at Froedtert and The Medical College of Wisconsin. He has a special interest in the care of patients with hepatic critical illness and his research focuses on outcomes of critically ill patients.

Dr. Ram Subramanian is Associate Professor of Medicine and Surgery at the Emory University School of Medicine in Atlanta USA.  He is the Medical Director of Liver Transplantation and oversees the Liver Critical Care services at the Emory Liver Transplant Center.  His fellowship training involved combined training in Pulmonary & Critical Care Medicine and Gastroenterology & Transplant Hepatology, with a goal to focus his clinical and research interests in the field of hepatic critical care. Over the course of his academic career, he has developed a specific clinical and research expertise in extracorporeal liver support. 

“This monograph covers the management of the critically ill patient with liver disease based on a summary of physiological alternations in this condition. … Because of its readability, this book is appropriate for postgraduate providers with all degrees of sophistication. …  This is an excellent overview of both the pathology of liver disease and the implications for other organ systems supported by the intensivist. Presentations are well written and summarize clinical problems and their management effectively.” (David J. Dries, Doody's Book Reviews, April, 2018)