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LTSI-INASL Joint Symposium - Acute Liver Failure

Chairpersons - Divakar Jain, Sabir Hussain, Sanjay Khanna, Shailendra Lalwani, Premashish Kar

🗓️ 23 Nov 2025 🕒 10:35 - 11:45 📍Hall A

Theme - Navigate ALF with Precision: Etiological Patterns, ICU Care, Dynamic Scores, and Transplant Readiness

Objectives -

1. Discuss recent changes in etiological pattern of ALF.
2. Discuss natural history of DILI related ALF and need for early transplant.
3. Analyze need and advantages of dynamic scoring over KCC for transplant in ALF.
4. To learn about dynamics and outcomes of hyperacute ALF
5. Managing ALF intraop during LT surgical and anaesthetic perspectives"

Setting the stage

10:35 - 10:40 Introductory talk

Speaker: Sanjiv Saigal

Changing etiological patterns of ALF in India

10:40 - 10:48 Didactic Talk

Speaker: Shalimar

Drug induced ALF: Role and Timing of Liver Transplant

10:48 - 10:56 Didactic Talk

Speaker: Aabha Nagral

Case-Based Panel Discussion: 27 F with HAV related hyperacute ALF admitted in liver ICU: care/monitoring/ALSS/Tx Listing

Sub topics
1. ALF in emergency department- Things to do
2. ICU care of ALF patient (when to MV, ICP monitoring, Nutrition, Antibiotics/ antifungals of choice)
3. Artificial liver support system (Plasma exchange/CRRT)- Patient selection, prevention of infections, CRRT first or plasma exchange- how to decide)
4. Does Dynamic scores help in deciding for Liver Transplant listing

10:56 - 11:21 Panel Discussion

Moderator : Charles Panackel

Panelists: Ajitabh Srivastava, Gaurav Pandey, Manasa Alla, Sushant K Sethi, Varuna Aluvihare

Surgical Strategies in Acute liver failure

11:21 - 11:29 Didactic Talk

Speaker: Sumana K R

Perioperative Management of patient with Acute Liver Failure: An Anaesthesiologist's Perspective

11:29 - 11:37 Talk

Speaker: Lakshmi Kumar

Moderated Q&A

11:37 - 11:45

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