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Podcast: CME
Episode: Acute Kidney Injury in Cirrhosis: Multidisciplinary Decision-Making
Description:
Host: Nancy S. Reau, MD
Guest: Andrew Allegretti, MD, MSc
Guest: Kevin Regner, MD
Guest: Ram Subramanian, MD
In patients with decompensated cirrhosis and multi-organ failure, intensive care units must coordinate care between hepatologists, transplant surgeons, intensivists, and nephrologists to optimize patient outcomes. This roundtable highlights the importance of well-coordinated processes between floor units and ICU teams, including early response systems and regular multidisciplinary rounds to discuss management strategies and transplant considerations. Different specialists must collaborate effectively to make decisions about various treatments, including terlipressin administration, dialysis initiation, and transplant timing, particularly in challenging cases...