Extracorporeal albumin dialysis for acute liver failure

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued updated full guidance to the NHS in England, Wales, Scotland and Northern Ireland on extracorporeal albumin dialysis for acute liver failure replacing IPG45.

Description

Extracorporeal albumin dialysis for acute-on-chronic liver failure involves pumping blood from the body through a thin membrane coated with albumin. Molecules that bind to the albumin membrane are then removed by passing through a charcoal column and an anion exchange, before being reintroduced into the circuit. Both water-soluble toxins (as in renal dialysis) and strongly albumin-bound toxins are removed by this process.

Albumin is purported to have important transport and detoxifications functions, such as the removal of albumin-bound substances, which may ameliorate some of the problems of liver failure.

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: alcohol use disorders

OPCS4.6 Code(s):

X43.1 Extracorporeal albumin haemodialysis

In addition the ICD-10 code K72.0 Acute and subacute hepatic failure would be recorded.

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

Contact details:

Links:

	IPG316 Extracorporeal albumin dialysis for acute liver failure: guidance	23 September 2009
	IPG316 Extracorporeal albumin dialysis for acute liver failure: guidance (web format)	11 February 2011
	IPG316 Extracorporeal albumin dialysis for acute liver failure: understanding NICE guidance	23 September 2009
	IPG316 Extracorporeal albumin dialysis for acute liver failure: understanding NICE guidance (MS Word format)	23 September 2009
	IPG316 Dialysis albwmin i gynorthwyo cleifion â methiant aciwt ar yr iau: deall canllawiau NICE (fformat MS Word)	29 October 2009
	IPG316 Extracorporeal albumin dialysis for acute liver failure: audit support	23 September 2009
	IPG316 Extracorporeal albumin dialysis for acute liver failure: consultation comments table	23 September 2009
	Extracorporeal albumin dialysis for acute liver failure (interventional procedures overview)	26 May 2009
	Extracorporeal albumin dialysis for acute liver failure (interventional procedures consultation)	26 May 2009