{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Decompensated Alcohol Related Liver Disease Part 1","description":"In this episode, I walk through the real-world critical care management of acute decompensated alcohol-related liver disease, using a high-risk ICU case to anchor the discussion. The focus is on understanding the underlying physiology\u2014portal hypertension, rebalanced haemostasis, hepatic encephalopathy, infection, and hepatorenal syndrome\u2014and translating that physiology into clear first-hour priorities at the bedside. Listeners are guided through airway and circulatory decision-making, rational use of albumin, vasopressors, antibiotics, lactulose and rifaximin, and careful blood product transfusion, while avoiding common pitfalls such as reflexive FFP or over-resuscitation. The episode emphasises early recognition of red flags, the central role of infection as a precipitant, and the interconnected nature of multi-organ failure in acute-on-chronic liver disease, all framed within pragmatic UK ICU practice. ","author_name":"The Critical Care Practitioner","author_url":"http:\/\/criticalcarepractitioner.libsyn.com\/website","html":"