Management of Acute Pancreatitis in Critical Care Unit

Pancreatitis is characterized by an inflammation occuring due to digestion of pancreatic self tissues and other organs after activation of digestive enzymes which are stable under normal conditions . For all the pancreatitis cases, the mortality rate is <%15. In the acute pancreatitis cases, the...

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Main Author: Güniz Meyancı Köksal
Format: Article
Language:English
Published: Galenos Yayinevi 2010-12-01
Series:Türk Yoğun Bakim Derneği Dergisi
Subjects:
Online Access:http://www.yogunbakimderg.com/article_2669/Management-Of-Acute-Pancreatitis-In-Critical-Care-Unit
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author Güniz Meyancı Köksal
author_facet Güniz Meyancı Köksal
author_sort Güniz Meyancı Köksal
collection DOAJ
description Pancreatitis is characterized by an inflammation occuring due to digestion of pancreatic self tissues and other organs after activation of digestive enzymes which are stable under normal conditions . For all the pancreatitis cases, the mortality rate is <%15. In the acute pancreatitis cases, the monitorization of the inspiration system, cardiovascular system and the metabolic status are needed. There is no primary therapy for the pancreatitis. All the therapy protocols are support therapy. The basic support therapy methods are: Liquid replacement, respiration support, pain management, pancreas secretion inhibition, metabolic support, intra-abdominal monitoring and decompression, nutrition, antibiotherapy, immunomodulation, coagulation mechanism monitoring. In the acute pancreatitis, the causes of early deaths are pancreatic shock and acute pulmonary thrombohemorrhage, within the first 7 days the causes of the 75% deaths are pulmonary shock and congestion and after 7 days the causes of the 77% are pancreas abscess, MOF (multiple organ failure), purulent peritonitis and erosive hemorrhage. (Journal of the Turkish Society of Intensive Care 2010; 8: 85-9)
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spelling doaj.art-5c2e10345f9d4b82af4b5c41d36abe1c2023-02-15T16:12:15ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2010-12-0182858910.4274/ty bdd.08.07Management of Acute Pancreatitis in Critical Care UnitGüniz Meyancı Köksal0İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Acil Yoğun Bakım Ünitesi, İstanbul,  TürkiyePancreatitis is characterized by an inflammation occuring due to digestion of pancreatic self tissues and other organs after activation of digestive enzymes which are stable under normal conditions . For all the pancreatitis cases, the mortality rate is <%15. In the acute pancreatitis cases, the monitorization of the inspiration system, cardiovascular system and the metabolic status are needed. There is no primary therapy for the pancreatitis. All the therapy protocols are support therapy. The basic support therapy methods are: Liquid replacement, respiration support, pain management, pancreas secretion inhibition, metabolic support, intra-abdominal monitoring and decompression, nutrition, antibiotherapy, immunomodulation, coagulation mechanism monitoring. In the acute pancreatitis, the causes of early deaths are pancreatic shock and acute pulmonary thrombohemorrhage, within the first 7 days the causes of the 75% deaths are pulmonary shock and congestion and after 7 days the causes of the 77% are pancreas abscess, MOF (multiple organ failure), purulent peritonitis and erosive hemorrhage. (Journal of the Turkish Society of Intensive Care 2010; 8: 85-9)http://www.yogunbakimderg.com/article_2669/Management-Of-Acute-Pancreatitis-In-Critical-Care-UnitAcute pancreatitissystemic inflammatory response syndromemultiple organ failurenutrition
spellingShingle Güniz Meyancı Köksal
Management of Acute Pancreatitis in Critical Care Unit
Türk Yoğun Bakim Derneği Dergisi
Acute pancreatitis
systemic inflammatory response syndrome
multiple organ failure
nutrition
title Management of Acute Pancreatitis in Critical Care Unit
title_full Management of Acute Pancreatitis in Critical Care Unit
title_fullStr Management of Acute Pancreatitis in Critical Care Unit
title_full_unstemmed Management of Acute Pancreatitis in Critical Care Unit
title_short Management of Acute Pancreatitis in Critical Care Unit
title_sort management of acute pancreatitis in critical care unit
topic Acute pancreatitis
systemic inflammatory response syndrome
multiple organ failure
nutrition
url http://www.yogunbakimderg.com/article_2669/Management-Of-Acute-Pancreatitis-In-Critical-Care-Unit
work_keys_str_mv AT gunizmeyancıkoksal managementofacutepancreatitisincriticalcareunit