TY  - CHAP
M1  - Book, Section
TI  - The Acute Abdomen and Intra-abdominal Sepsis
A1  - Greco, Elisa F.
A1  - Bohnen, John M. A.
A2  - Hall, Jesse B.
A2  - Schmidt, Gregory A.
A2  - Kress, John P.
PY  - 2015
T2  - Principles of Critical Care, 4e
AB  - The  acute  abdomen  presents  in  unusual  ways  in  the  intensive  care  unit  (ICU).Successful  management  depends  on  prompt  diagnosis  and  management;  the  intensivist,  surgeon,  gastroenterologist,  and  radiologist  must  collaborate  effectively.Computed  tomography  (CT)  and  ultrasonography  should  be  used  liberally  to  evaluate  abdominal  conditions.Complications  occur  frequently  in  the  postsurgical  ICU  patient;  “stable  vital  signs”  does  not  imply  clinical  stability.Postoperative  residual  or  recurrent  intra-abdominal  sepsis  may  not  be  obvious  clinically  or  radiographically;  cardiorespiratory  or  other  organ  dysfunction  should  prompt  a  search  for  the  source  that  will  require  resuscitation,  antibiotics,  and  source  controlThe  treatment  of  the  febrile  postsurgical  patient  is  not  simply  the  administration  of  antibiotics.Acalculous  cholecystitis  is  a  treacherous  disease  that  requires  urgent  treatment;  definitive  diagnosis  is  not  always  possible  or  necessary  before  treatment.Abdominal  wall  tissue  loss  or  tension  may  preclude  fascial  closure  at  laparotomy.  ICU  staff  must  understand  and  manage  postoperatively  techniques  to  protect  intestinal  integrity  and  cardiopulmonary  function,  such  as  temporary  closure  and  vacuum  dressings.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1107712540
ER  -