Cerebral edema-Management-acute liver failure
# Cerebral edema-Management-acute liver failure
consider ICP monitoring if grade 3/4 enceph; if ↑ ICP → mannitol 0.5–1.0 mg/kg; if arterial NH3 >150, grade 3/4 enceph, AKI or on vasopressors → prophylactic 3% saline with goal Na 145–155 mEq/L; barbiturates & hypothermia if refractory ↑ ICP