A 50-year-old woman on ICU has severe acute liver failure. She develops raised ICP (28 mmHg) with declining CPP. The team considers ICP monitoring opt...

Question

A 50-year-old woman on ICU has severe acute liver failure. She develops raised ICP (28 mmHg) with declining CPP. The team considers ICP monitoring options. What is the current position on ICP monitoring in acute liver failure according to AASLD guidelines?

Accepted Answer

ICP monitoring may be considered in patients with ALF and grade 3-4 encephalopathy who are candidates for liver transplantation - it can guide osmotherapy, vasopressor titration for CPP, and surgical decision-making; however, the evidence for improved outcomes from ICP monitoring in ALF is limited, and the bleeding risk from invasive monitoring in coagulopathic patients must be weighed against the benefit

Answer

ICP monitoring is mandatory in all ALF patients

Answer

ICP monitoring is absolutely contraindicated in ALF due to coagulopathy

Answer

Non-invasive ICP monitoring is always preferred

Answer

ICP monitoring is never useful in ALF

uk-fficm MCQ (SBA): ICP Monitoring in ALF

A 50-year-old woman on ICU has severe acute liver failure. She develops raised ICP (28 mmHg) with declining CPP. The team considers ICP monitoring options. What is the current position on ICP monitoring in acute liver failure according to AASLD guidelines?