TY - JOUR AU - Shrestha, Pramesh Sunder AU - Acharya, Subhash Prasad AU - Shrestha, Gentle Sunder AU - Aryal, Diptesh AU - Udaya, Rejin Kumar AU - Marhatta, Moda Nath PY - 2017/06/28 Y2 - 2024/03/29 TI - An audit of hepatobiliary diseases in a tertiary level intensive care unit in Nepal JF - Journal of Society of Anesthesiologists of Nepal JA - J. Soc. Anesth. Nep. VL - 4 IS - 1 SE - Clinical Audit DO - 10.3126/jsan.v4i1.17445 UR - https://www.nepjol.info/index.php/JSAN/article/view/17445 SP - 42-45 AB - <p><strong>Background: </strong>Hepatobiliary diseases account for significant proportion of admission in our intensive care unit, a semi-closed, 11 bedded mixed medical-surgical unit. This study was conducted to study the profile of patients with various hepatobiliary diseases who required intensive care unit admissions with the aim of identifying the need for a hepatobiliary critical care facility. </p><p><strong>Methods: </strong>A retrospective study was designed and all consecutive patients admitted with hepatobiliary problems from January 2013 till December 2013 were enrolled in the study.</p><p><strong>Results: </strong>Out of 467 patients admitted, there were 61 (13.06%) patients with hepatobiliary diseases. Out of 61 patients, there were 24 (39.3%) patients with medical cause for hepatobiliary disease and 37 (60.7%) patients with a surgical cause. The majority of the patients 52.45% were male. The overall mortality in these patients was 37.70%. The mortality in patients with surgical cause for the hepatobiliary disease was less (27.02%). Encephalopathy was a common condition leading to ICU admission. The common medical conditions were Cirrhosis secondary to Alcoholic Liver disease and Acute Fulminant Hepatic Failure. The commonest surgical conditions were Severe Pancreatitis, Post-Whipple's surgery, postoperative sepsis after Cholecystectomy, Liver Injury secondary to Road Traffic Accidents and Severe Cholangitis.<strong> </strong></p><p><strong>Conclusion: </strong>The number of patients presenting to our multidisciplinary unit with hepatobiliary diseases is high and this group of patients have a high mortality. Though the numbers do not suggest an immediate need for a Hepatobiliary intensive care unit, the increasing trend suggests such a facility would be the need of time in near future.</p> ER -