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We return to our 48-year-old patient: jaundiced, hypotensive, drowsy, and bleeding. In decompensated cirrhosis, every treatment targets a disrupted system — splanchnic vasodilation, portal hypertension, toxin accumulatio...
Decompensated Alcohol Related Liver Disease Part 2 is an episode from Critical Care Practitioner by Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.. We return to our 48-year-old patient: jaundiced,...
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Published Jan 13, 2026, 13:53 long, audio available.
We return to our 48-year-old patient: jaundiced, hypotensive, drowsy, and bleeding. In decompensated cirrhosis, every treatment targets a disrupted system — splanchnic vasodilation, portal hypertension, toxin accumulation, and renal hypoperfusion.Although these patients look fluid overloaded, they are effectively hypovolaemic. Start with small aliquots of balanced crystalloid, avoiding 0.9% saline. In hepatorenal syndrome or tense ascites, 20% albumin is […] The post Decompensated Alcohol Related Liver Disease Part 2 appeared first on Critical Care Practitioner .
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Decompensated Alcohol Related Liver Disease Part 2 is an episode from Critical Care Practitioner by Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing..
This episode is 13:53 long.
This episode was published on Jan 13, 2026.
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Decompensated Alcohol Related Liver Disease Part 2 is from Critical Care Practitioner by Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing..
Published Jan 13, 2026 and 13:53 long