Update on the 2024 Guidelines by Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition (ISPGHAN) on the Diagnosis and Management of Pediatric Acute Liver Failure

The Indian Society of Pediatric Gastroenterology, Hepatology, and Nutrition (ISPGHAN) 2024 guidelines on pediatric acute liver failure provide updated diagnostic and management protocols that reflect the most recent advances in the field. The salient changes involve the emphasis on non-invasive diagnosis of raised intracranial pressure, point-of-care ultrasound guided euvolumia, refined indications of therapeutic plasma exchange and continuous renal replacement therapy. We present a concise update of the guidelines for pediatricians and gastroenterologists, with the aim of harmonizing management and improving patient outcomes through precise, evidence-driven approaches.