title: Continuous hypertonic saline for acute liver failure.
abstract: Acute liver failure (ALF) is a clinical condition with high mortality. The most common cause of death in ALF is cerebral edema. We present a 12-year-old boy with hepatitis A-related acute liver failure in grade IV hepatic encephalopathy successfully managed in the ICU using continuous hypertonic saline as the preferred osmotherapy.
authors.affiliation: Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. ratender@sgpgi.ac.in
authors.forename: Ratender Kumar
authors.initials: RK
authors.lastname: Singh
authors.forename: Banani
authors.initials: B
authors.lastname: Poddar
authors.forename: Sanjay
authors.initials: S
authors.lastname: Singhal
authors.forename: Afzal
authors.initials: A
authors.lastname: Azim
mesh_terms: D001929:Brain Edema / Q000517:prevention & control*; D002648:Child; D006506:Hepatitis A / Q000150:complications; D006801:Humans; D017114:Liver Failure, Acute / Q000628:therapy* / Q000821:virology; D008297:Male; D012462:Saline Solution, Hypertonic / Q000627:therapeutic use*
chemical_list: D012462:Saline Solution, Hypertonic