Journal of the Japanese Society of Intensive Care Medicine
Online ISSN : 1882-966X
Print ISSN : 1340-7988
ISSN-L : 1340-7988
ORIGINAL ARTICLES
Multidisciplinary team approach to pediatric fulminant hepatic failure
Chiaki KarakiMureo KasaharaNaoki ShimizuTakashi MugurumaOsamu SaitoIchiro SaitoSatoshi Nakagawa
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JOURNAL FREE ACCESS

2009 Volume 16 Issue 3 Pages 279-288

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Abstract
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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© 2009 The Japanese Society of Intensive Care Medicine
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