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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...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2021
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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. |
format | Online Article Text |
id | pubmed-8383533 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
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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