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Abstract
Acute liver failure (ALF) and acute-on-chronic liver failure (ACLF) usually mandate
management within an intensive care unit (ICU). Even though the conditions bear some
similarities, precipitating causes, and systemic complications management practices
differ. Although early identification of ALF and ACLF, improvements in ICU management,
and the widespread availability of liver transplantation have improved mortality,
optimal management practices have not been defined. This article summarizes current
ICU management practices and identifies areas of management that require further study.