Bhubaneswar, July 11 (LocalWire): National guidelines for the management of acute liver failure has been formulated at Kalinga Institute of Medical Sciences (KIMS).
Thirty five experts and liver disease specialists from Delhi, Mumbai, Hyderabad, Chennai, Lucknow, Chandigarh and Bhubaneswar were part of the task force led by Dr S K Acharya, Pro-chancellor, KIIT University (Chairman) and Dr A C Anand, professor and Head, department of gastroenterology and hepatology, KIMS.
They discussed how ALF in India is distinctly different than what is described in Western textbooks.
India has mainly viral hepatitis-induced ALF in contrast to many Western countries, where paracetamol poisoning is the commonest cause.
It also meant that India also needed a different definition of this disease and some of the classifications described from the West may not be relevant in India, they opined.
ALF is the most dangerous liver disease.
A healthy young person, if afflicted, can die within a matter of days.
INASL constituted a taskforce to bring out national guidelines to manage ALF with Professor Emeritus S K Acharya, as the chairman of the taskforce and Professor A C Anand, as the convener.
Professor Emeritus Y K Chawla, Director Academics at KIMS is one of senior members and advisers to the task force.
Decision to transplant liver in a given patient is very crucial one.
Which patients will require liver transplant is a critical decision and how that decision will be made was deliberated upon.
Liver transplant surgeons were also a part of the group and management of patient at liver transplant center was also discussed.
The deliberation of the consensus meeting will finally be published in an internationally indexed journal.
Indian national association for the study of liver (INASL) is a national body comprising liver disease specialists.
It often issues guidelines for treatment of various liver diseases.
So far there were no guidelines for the management of acute liver failure in India, although a considerable amount of work has been done in this subject.
A checklist was prepared to outline the management in the resource-poor setting.
Importance of intensive care was stressed at all levels.
When patients need transfer to a tertiary care center, the precautions to be taken enroute were also discussed and finalised.
Special emphasis was given to strategies to prevent cerebral edema which is main kiiler complication of ALF.
Some important aspects of treatment such as plasmapheresis, high volume plasma exchange and artificial liver support were also debated on and their exact role in management was discussed.
Another important aspect of this meeting was discussion on paediatric patients.
Paediatric hepatologists were also involved to discuss special requirements in neonate and infants as well as small children.
Dr Achutya Samanta, founder of KIIT, KISS and KIMS welcomed the experts of the task force.