Nat’l guidelines for ALF mgmt formulated at KIMS

| | BHUBANESWAR
  • 0

Nat’l guidelines for ALF mgmt formulated at KIMS

Friday, 12 July 2019 | PNS | BHUBANESWAR

National guidelines for the management of acute liver failure (ALF) were formulated by experts at the Kalinga Institute of Medical Sciences (KIMS) here on Thursday.

Thirty-five experts and liver disease specialists from Delhi, Mumbai, Hyderabad, Chennai, Lucknow, Chandigarh and Bhubaneswar were the part of the taskforce formed by the Indian National Association for the Study of Liver (INASL). Dr SK Acharya, Pro-Chancellor, KIIT University was its Chairman and Dr AC Anand, Professor and Head, Department of Gastroenterology and Hepatology, KIMS was its convenor. Professor Emeritus YK Chawla, Director Academics at KIMS, was one of senior members and advisers to the taskforce.

They discussed on presentation of acute liver failure (ALF), the most dangerous liver disease, in India terming it as distinctly different to what is described in the Western textbooks. India has mainly viral hepatitis induced ALF in contrast to many Western countries, where paracetamol poisoning is the commonest cause. Thus, India needed a different definition of this disease and some of the classifications described from West may not be relevant in India, they opined.

A healthy young person, if afflicted with ALF, can die within a matter of few days. Decision to transplant liver in a given patient is very crucial one.

Management at a peripheral center was discussed first. 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 killer 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 crystallised. 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.

KIIT, KISS, KIMS founder Dr Achutya Samanta welcomed the experts.

State Editions

Seminar on Ethnographic Museums from July 28

24 July 2019 | Staff Reporter | Bhopal

Over 8,000 flats allotted in DDA housing plan ’19

24 July 2019 | Staff Reporter | Bhopal

Maiden drug mafia hawala nexus busted by STF

24 July 2019 | Staff Reporter | Bhopal

Jiva’s Bharatnatyam skills enthrall 3 cities of US

24 July 2019 | Staff Reporter | Bhopal

‘Open Learning Day’ to be organised today

24 July 2019 | Staff Reporter | Bhopal

Sunday Edition

EndGame Dhoni?

21 July 2019 | Akshay Lokapally | Agenda

Decoding mystical maya

21 July 2019 | Radhanath Swami Maharaj | Agenda

Negativity can be curbed

21 July 2019 | Ajit Kumar Bishnoi | Agenda

Astroturf | Guru helps one become self-empowered

21 July 2019 | Bharat Bhushan Padmadeo | Agenda

Talktime : ‘I’m not good at making retarded films’

21 July 2019 | MUSBA HASHMI | Sunday Pioneer

Story on a string

21 July 2019 | Shalini Saksena | Sunday Pioneer