Control of infection

Infections are common complications and significant causes of death in patients with ALF. Sepsis is secondary only to cerebral edema as a cause of death and typically occurs more than a week after ICU admission. Early infections are usually bacterial infections of the respiratory and urinary tracts. Infections occurring after the first week of ICU treatment are often fungal. Traditional signs of infection, such as elevations of temperature and peripheral white blood cell count, are often absent. Management involves regular culture of available secretions and early institution of appropriate antibiotic therapy. If empirical antibiotics are necessary, both Gram-positive and Gram-negative bacteria should be covered, and antifungal agents should be considered early. Aminoglycoside antibiotics should be avoided because of an increased risk of nephrotoxicity. Application of topical antifungal agents to the mouth and skin creases is a useful measure to reduce colonization and is particularly important before liver transplantation.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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