Liver Failure

Author: Dr. Ahmed Farhan     Published: 3 years ago 1 Replies

What is the criteria for liver transplantation in patients with acute liver failure?

Kings college criteria for liver tranplantation.

AFL due to paracetamol
  • Arterial pH <7.3 after resuscitation and 24 h since ingestion

  • Three following criteria:

    • Hepatic encephalopathy grades 3–4

    • Serum creatinine >300 mol/L (3.4 mg(dl)

    • INR >6.5

ALF not due to paracetamol
  • INR >6.5

  • Three out of five following criteria:

    • Etiology: indeterminate etiology hepatitis, drug-induced hepatitis

    • Age <10 years or >40 years

    • Interval jaundice encephalopathy >7 days

    • Bilirubin >300 mol/L (17 mg/dl)

    • INR >3.5

Maria, 3 years ago

Login to Reply