Management of fulminant hepatic failure

Fulminant hepatic failure is an infrequent but dreadful disease, occurring usually in young patients. Despite fulminant hepatic failure is reversible in most of the cases, some patients develop brain edema and intracranial hy pertension,which are the most common cause of death in these patients. Live r transplantation significantly improves the prognosis of selected patients in who precise criteria predict a low chance of survival. This review summ arizes the modern standard of care of patients with fulminant hepatic failu re, with particular underlining of the management of brain oedema and intra cranial hypertension.