Hepatic encephalopathy

8year female child presented with hepatitis with hepatic encephalopathy with respiratory failure with acute liver failure ,died because of sudden pulmonary bleeding, despite of all management transfusion of plasma red blood cell,vit k, ppi,and ventilator support.. kindly tell me what we should do to stop pulmonary bleed as so many cases are coming like this..a proper and life saving step..please guide me.


Prothrombin time INR should had been done. Instead red blood cell. Whole fresh blood or preferably fresh frozen plasma should had been transfused.