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The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series

Budd-Chiari syndrome (BCS) has a wide spectrum of presentations, from an asymptomatic status to acute liver failure (ALF). The therapeutic approach depends on disease severity and related etiology with patients with severe forms of presentation classically managed in intensive care units (ICUs). Her...

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Autores principales: Cravo, Marcia, Oliveira, Daniel G., Guimas, Arlindo, Vita, Pedro, Rego, Ana Luisa, Alves, Rute, Valadares, Diana, Carvalheiras, Graziela, Ricardo, Miguel, Pinto, Alexandre, Pessegueiro, Helena, Nery, Filipe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8383533/
https://www.ncbi.nlm.nih.gov/pubmed/34434456
http://dx.doi.org/10.14740/jmc3659
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author Cravo, Marcia
Oliveira, Daniel G.
Guimas, Arlindo
Vita, Pedro
Rego, Ana Luisa
Alves, Rute
Valadares, Diana
Carvalheiras, Graziela
Ricardo, Miguel
Pinto, Alexandre
Pessegueiro, Helena
Nery, Filipe
author_facet Cravo, Marcia
Oliveira, Daniel G.
Guimas, Arlindo
Vita, Pedro
Rego, Ana Luisa
Alves, Rute
Valadares, Diana
Carvalheiras, Graziela
Ricardo, Miguel
Pinto, Alexandre
Pessegueiro, Helena
Nery, Filipe
author_sort Cravo, Marcia
collection PubMed
description Budd-Chiari syndrome (BCS) has a wide spectrum of presentations, from an asymptomatic status to acute liver failure (ALF). The therapeutic approach depends on disease severity and related etiology with patients with severe forms of presentation classically managed in intensive care units (ICUs). Here, we report a series of five BCS patients managed in a medical intermediate care unit (IntCU), with three of them presenting with acute liver injury. Progression to ALF was seen in three patients, two of whom died, with one being successfully submitted to liver transplantation. IntCUs allow a 24-h patient surveillance and a prompt management of BCS, with less economic impact when compared to ICUs. Mortality was related to the presence of associated comorbidities that limited therapeutic approach.
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spelling pubmed-83835332021-08-24 The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series Cravo, Marcia Oliveira, Daniel G. Guimas, Arlindo Vita, Pedro Rego, Ana Luisa Alves, Rute Valadares, Diana Carvalheiras, Graziela Ricardo, Miguel Pinto, Alexandre Pessegueiro, Helena Nery, Filipe J Med Cases Case Report Budd-Chiari syndrome (BCS) has a wide spectrum of presentations, from an asymptomatic status to acute liver failure (ALF). The therapeutic approach depends on disease severity and related etiology with patients with severe forms of presentation classically managed in intensive care units (ICUs). Here, we report a series of five BCS patients managed in a medical intermediate care unit (IntCU), with three of them presenting with acute liver injury. Progression to ALF was seen in three patients, two of whom died, with one being successfully submitted to liver transplantation. IntCUs allow a 24-h patient surveillance and a prompt management of BCS, with less economic impact when compared to ICUs. Mortality was related to the presence of associated comorbidities that limited therapeutic approach. Elmer Press 2021-05 2021-03-05 /pmc/articles/PMC8383533/ /pubmed/34434456 http://dx.doi.org/10.14740/jmc3659 Text en Copyright 2021, Cravo et al. https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cravo, Marcia
Oliveira, Daniel G.
Guimas, Arlindo
Vita, Pedro
Rego, Ana Luisa
Alves, Rute
Valadares, Diana
Carvalheiras, Graziela
Ricardo, Miguel
Pinto, Alexandre
Pessegueiro, Helena
Nery, Filipe
The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series
title The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series
title_full The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series
title_fullStr The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series
title_full_unstemmed The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series
title_short The Role of a Medical Intermediate Care Unit in the Management of Budd-Chiari Syndrome: Case Series
title_sort role of a medical intermediate care unit in the management of budd-chiari syndrome: case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8383533/
https://www.ncbi.nlm.nih.gov/pubmed/34434456
http://dx.doi.org/10.14740/jmc3659
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