<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452022000100022</article-id>
<article-id pub-id-type="doi">10.1159/000516672</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Variation in the Care of Acute Liver Failure: A Survey of Intensive Care Professionals]]></article-title>
<article-title xml:lang="pt"><![CDATA[Variação nos cuidados da falência hepática aguda: um inquérito a profissionais de cuidados intensivos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[Filipe S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mcphail]]></surname>
<given-names><![CDATA[Mark J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Karvellas]]></surname>
<given-names><![CDATA[Constantine J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuhrmann]]></surname>
<given-names><![CDATA[Valentin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Germano]]></surname>
<given-names><![CDATA[Nuno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Auzinger]]></surname>
<given-names><![CDATA[Georg]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Curry Cabral Hospital Intensive Care Unit ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,King&#8217;s College Hospital Liver Intensive Therapy Unit ]]></institution>
<addr-line><![CDATA[London ]]></addr-line>
<country>United Kingdom</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,University of Alberta Department of Critical Care Medicine ]]></institution>
<addr-line><![CDATA[Edmonton AB]]></addr-line>
<country>Canada</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,University of Münster Department of Medicine B, Gastroenterology and Hepatology ]]></institution>
<addr-line><![CDATA[Münster ]]></addr-line>
<country>Germany</country>
</aff>
<pub-date pub-type="pub">
<day>28</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>28</day>
<month>02</month>
<year>2022</year>
</pub-date>
<volume>29</volume>
<numero>1</numero>
<fpage>22</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452022000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452022000100022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452022000100022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Acute liver failure (ALF) is a rare disease with potentially high mortality. We sought to assess the individual approach to ALF by intensive care unit (ICU) professionals.  Methods:  Cross-sectional survey of ICU professionals. Web-based survey capturing data on respondents&#8217; demographics, characteristics of patients with ALF admitted to ICU, and their management.  Results:  Among 204 participants from 50 countries, 140 (68.6%) worked in Europe, 146 (71.6%) were intensivists, 142 (69.6%) admitted &lt;25 patients with ALF per year, and 166 (81.8%) reported &lt;25% of patients had paracetamol-related ALF. On patients&#8217; outcomes, 126 (75.0%) reported an emergency liver transplantation (ELT) rate &lt;25% and 140 (73.3%) a hospital mortality rate &lt;50%. The approach to ALF in the ICU varied with age, region, level of training, type of hospital, and etiology (prescribing N-acetylcysteine for paracetamol toxicity, triggers for endotracheal intubation, measurement of and strategies for lowering serum ammonia, extracorporeal device deployment, and prophylactic antibiotics).  Conclusions:  The management of patients with ALF by ICU professionals differed substantially concerning the relevant clinical measures taken. Further education and high-quality research are warranted.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: A falência hepática aguda (ALF) é uma doença rara potencialmente letal. Pretendeu-se avaliar a abordagem individual à ALF por profissionais da Unidade de Cuidados Intensivos (UCI).  Métodos: Inquérito transversal de profissionais da UCI. Inquérito online capturando informação da demografia dos respondedores, características dos doentes com ALF admitidos na UCI e sua abordagem.  Resultados: Entre 204 participantes de 50 países, 140 (68.6%) trabalhavam na Europa, 146 (71.6%) eram intensivistas, 142 (62.9%) admitiam &lt;25 doentes com ALF por ano, e 166 (81.8%) reportaram &lt;25% dos doentes com ALF relacionada com paracetamol. Quanto aos resultados dos doentes, 126 (75.0%) reportaram uma taxa de transplantação hepatica emergente (ELT) &lt;25% e 140 (73.3%) uma taxa de mortalidade hospitalar &lt;50%. A abordagem da ALF variou com a idade, região, nível de treino, tipo de hospital, ou etiologia nos seguintes tópicos: prescrição de N-acetil-cisteína, critérios de intubação orotraqueal, medição e estratégias de control da amoniémia, uso de técnicas extracorporais, e a prescrição de antibióticos profilácticos.  Conclusões: A abordagem de doentes com ALF por profissionais da UCI diferiu substancialmente em aspectos clínicos importantes. Educação e investigação de qualidade adicionais serão necessárias.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Hepatitis]]></kwd>
<kwd lng="en"><![CDATA[Critical care]]></kwd>
<kwd lng="en"><![CDATA[Outcomes]]></kwd>
<kwd lng="en"><![CDATA[Survey]]></kwd>
<kwd lng="pt"><![CDATA[Hepatite]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados críticos]]></kwd>
<kwd lng="pt"><![CDATA[Resultados]]></kwd>
<kwd lng="pt"><![CDATA[Inquérito]]></kwd>
</kwd-group>
</article-meta>
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