Open abdomen critical care management principles: resuscitation, fluid balance, nutrition, and ventilator management

The term “open abdomen” refers to a surgically created defect in the abdominal wall that exposes abdominal viscera. Leaving an abdominal cavity temporarily open has been well described for several indications, including damage control surgery and abdominal compartment syndrome. Although beneficial i...

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Dades bibliogràfiques
Autors principals: Ram Nirula, Elizabeth Chabot
Format: Article
Idioma:English
Publicat: BMJ Publishing Group 2017-12-01
Col·lecció:Trauma Surgery & Acute Care Open
Accés en línia:https://tsaco.bmj.com/content/2/1/e000063.full
Descripció
Sumari:The term “open abdomen” refers to a surgically created defect in the abdominal wall that exposes abdominal viscera. Leaving an abdominal cavity temporarily open has been well described for several indications, including damage control surgery and abdominal compartment syndrome. Although beneficial in certain patients, the act of keeping an abdominal cavity open has physiologic repercussions that must be recognized and managed during postoperative care. This review article describes these issues and provides guidelines for the critical care physician managing a patient with an open abdomen.
ISSN:2397-5776