In this episode, Dr. Zanotti discusses the management of acute-on-chronic liver failure (ACLF) in the ICU. He is joined by Dr. Nanchal, a practicing critical care physician with an interest in liver disease. He is a Professor in the Division of Pulmonary and Critical Care Medicine, at the Medical College of Wisconsin, in Milwaukee. Dr. Nanchal is also the lead author of the Society of Critical Care Medicine’s Guideline for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU.Additional ResourcesExecutive Summary for Guideline for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU: Neurology, Peri-transplant Medicine, Infectious Disease, and Gastroenterology Considerations: https://journals.lww.com/ccmjournal/pages/articleviewer.aspx?year=2023&issue=05000&article=00010&type=FulltextGuideline for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU: Neurology, Peri-transplant Medicine, Infectious Disease, and Gastroenterology Considerations: https://journals.lww.com/ccmjournal/pages/articleviewer.aspx?year=2023&issue=05000&article=00011&type=FulltextGuideline for the Management of Adult Acute and Acute-on-Chronic Liver Failure in the ICU: Cardiovascular, Endocrine, Hematologic, Pulmonary, and Renal Considerations: https://journals.lww.com/ccmjournal/Fulltext/2020/03000/Guidelines_for_the_Management_of_Adult_Acute_and.29.aspxPrevious Episodes of Critical Matters on the Topic of Acute-on-Chronic Liver Failure:https://soundphysicians.com/podcast-episode/?podcast_id=342&track_id=953807698https://soundphysicians.com/podcast-episode/?podcast_id=342&track_id=965563996Books Mentioned in this Episode:Noise: A Flaw in Human Judgement. By Daniel Kahneman, et al: https://bit.ly/3sqfRinSeven Brief Lessons on Physics. By Carlo Rovelli: https://bit.ly/45jv82NAnaximander: And the Birth of Science. By Carlo Rovelli: https://bit.ly/3sqgqbZ