Multidisciplinary team approach to pediatric fulminant hepatic failure

DOI 2 Citations 35 References
  • Karaki Chiaki
    Department of Anesthesia & ICU, National Center for Child Health and Development
  • Kasahara Mureo
    Transplantation Surgery, National Center for Child Health and Development
  • Shimizu Naoki
    Emergency & Critical Care Medicine, Kimitsu Chuo Hospital
  • Muguruma Takashi
    Department of Anesthesia & ICU, National Center for Child Health and Development
  • Saito Osamu
    Department of Anesthesia & ICU, National Center for Child Health and Development
  • Saito Ichiro
    Department of Anesthesia & ICU, National Center for Child Health and Development
  • Nakagawa Satoshi
    Department of Anesthesia & ICU, National Center for Child Health and Development

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Other Title
  • 小児劇症肝不全の集学的管理と生体肝移植適応

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Although remarkable progress has been made in the treatment of fulminant hepatic failure (FHF) in recent years, selection or indication for blood purification therapy and liver transplantation remains difficult because of the difficulty in accumulating cases and lack of the volume of pediatric FHF. We report 10 cases of pediatric FHF encountered at the National Center for Child Health and Development during the last 2 years. Eight cases survived, and living-related transplantation was performed in 7 cases. This report highlights the importance of a multidisciplinary team approach for the management of pediatric FHF in the pediatric critical care setting with timely transplantation as a backup option.

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