![]() | Only 14 pages are availabe for public view |
Abstract Liver diseases are commonly seen in the intensive care unit (ICU). Hepatic patients are admitted to ICU due to acute liver failure or advanced de-compensated, complicated chronic liver disease. Also, they can be admitted for post-operative care (e.g. Post-liver transplant)) or for non hepatic causes (e.g. acute myocardial infarction and polytrauma). Moreover, non hepatic patients may suffer from liver dysfunction during their stay in ICU (e.g. shock liver and post- traumatic liver failure). Neural communication between the liver and the central nervous system is bidirectional, with afferent and efferent nerve fibers of both vagal parasympathetic and spinal sympathetic origin. In humans, branches of both vagus nerves and branches of splanchnic nerves innervate the liver. Two separate but intercommunicating plexuses are formed by the sympathetic and parasympathetic nerve fibers. |