Interprofessional Approach to Liver Disease: Enhancing Critical Care Management

The management of critically ill patients with liver disease requires a comprehensive approach, involving healthcare providers from multiple disciplines. To address this need, Cleveland Clinic presents the Interprofessional Approach to Liver Disease, a program designed to equip physicians, nurses, and physician assistants with the latest strategies and evidence-based management guidance.

Program Sessions

Session 1: Acute Liver Failure – ICU Diagnosis and Management

• ICU Diagnosis and Management of Acute Liver Failure by Georg Auzinger, AFICM, FRCP, EDIC
• Neuromonitoring of Patients With Acute Liver Failure by Joao Gomes, MD
• Acute Liver Failure Cases by Bhavsar-Burke, Laique, Manek & Smith
• ICU Management of Acute on Chronic Liver Failure by Aanchal Kapoor, MD, Med
• Pharmacology in ALF and ACLF by Stephanie Bass, PharmD

Session 2: Patient and Practice Management I

• Lessons Learned From Building a Liver Intensive Therapy Unit by Professor Julia Wendon
• The “Ins and Outs” of Being a Nurse in Medical Intensive Liver Unit by Lamiell & Kokoczka
• Nuts and Bolts of Co-Management by Dolan, George & Psellas
• Diagnosing Sepsis in Cirrhotic Patients by Matthew Dettmer MD
• Sepsis in Critically Ill Patients With Liver Disease: Infection Management by Christine Koval, MD

Session 3: Transplant I: Candidates and Considerations

• Medical Optimization of the Liver Transplant Candidate in the ICU: “The Window Period” by Christina Lindenmeyer, MD
• Indications for Liver Transplantation and When to Say No by K.V. Narayanan Menon, MD
• The Sick Recipient: Perspective From the Transplant Surgeon by Sulemon Chaudhry, MD
• A Better Approach to An Old Problem by Jamak Modaresi Esfeh, MD
• Disparities in Consideration for Liver Transplantation by Mahwish Ahmad, MD, MPH

Session 4: Kidney Injury and Cardiac Interventions

• Hepatorenal Syndrome: Diagnosis and Management by Sevag Demirjian, MD
• TAVR and DAPT After Percutaneous Cardiac Intervention by Amar Krishnaswamy, MD
• Update in Cardiac Assessment of Patients With Advanced Liver Disease by Maan Fares, MD
• Case Presentations by Patrick Lindsay, MD

Session 5: Transplant II: Complications and Management

• Concomitant Liver Transplant and Cardiac Surgery by Shinya Unai, MD
• Special Anesthesia Considerations for Liver Transplant Recipients with Cardiac Disease by Maged Argalious, MD
• Lung/Liver Organ Transplant Case by Manek & Benniger
• Critical Care Management of Post Liver Transplant Patients by Faith Factora, MD
• Management of Porto-pulmonary Hypertension and Hepato-pulmonary Syndrome Peri-transplant by Adriano Tonelli, MD

Session 6: Patient and Practice Management II

• Mechanical Ventilation in the Patient with Liver Disease by Eduardo Mireles-Cabodevila, MD
• Resuscitation of Critically Ill Patients With Liver Disease by Siddharth Dugar, MD
• Massive Hemorrhage in the Critically Ill Liver Disease Patient by Simon Mucha, MD
• Peri-Procedural Management of Coagulopathy in Patients With Liver Disease by Tarik Hanane, MD
• How to Manage Anticoagulation in Patients With Liver Disease (PE, Portal Vein Thrombosis, A fib, MI) by Marcelo Gomes, MD

This comprehensive program provides healthcare professionals with the latest evidence-based guidance and strategies for managing critically ill patients with liver disease, covering topics such as acute liver failure, patient and practice management, transplant candidates, kidney injury, and cardiac interventions.