 Hello everyone, I am Dr. Srikanth. I am a consultant pediatric gastroenterology, hepatology, nutrition at Manipal Hospital's Bangalore. So acute liver failure is a very devastating condition where the liver starts failing to function because of various reasons. And in Indian scenario it is because of certain viral infections like hepatitis A and because of certain drugs. So it is a sudden onset and it is like a response like bolt from the blue where the cell becomes deeply jaundiced and the sensorium goes down. And it is a serious condition requiring an admission to intensive care unit for management. One of the serious complications is multi-argan failure which requires support, various cardiovascular, respiratory and renal support during the treatment. And at times if the condition does not improve, the liver transplantation may be one of the treatment options.