Journal of Anaesthesia & Critical Care Case Reports

Vol 5 | Issue 1 | Jan-April 2019 | page: 18-20 | Anupam Raj, Vijay Shankar, Meera Kharbhanda, Neerav Goyal

Authors: Anupam Raj [1], Vijay Shankar [1], Meera Kharbhanda [1], Neerav Goyal [2].

[1] Department of Anaesthesia, Indraprastha Apollo Hospital New Delhi
[2] Dept Of Liver Transplantation , I ndraprastha Apollo Hospital New Delhi

Address of Correspondence

Dr. Anupam Raj,
Department of Anaesthesia, Indraprastha Apollo Hospital New Delhi
Email: anupamraj21@gmail.com

Abstract

A 32-year-old female patient was admitted in our hospital with a diagnosis of Hepatitis E induced acute liver failure. She was immediately intubated and mechanically ventilated due to a high grade of hepatic encephalopathy. ONSD measured on admission was suggestive of raised ICP. She was initiated on CRRT along with other anti-edema measures. She underwent LDLT on the third day of admission. ONSD was monitored at regular intervals to identify cerebral edema and CRRT was continued intra operatively with the aim of preventing cerebral edema. We were able to extubate the patient within 18 hours of the surgery. The patient had a fastpost-operative recovery and we were able to discharge her on the 12th post-operative day.
Keywords: Acute Liver Failure, Cerebral Edema, Pregnancy, Hepatitis E, Liver Transplant, Continuous Renal Replacement Therapy

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