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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Detalles Bibliográficos
Autores principales: Ram Nirula, Elizabeth Chabot
Formato: Artículo
Lenguaje:English
Publicado: BMJ Publishing Group 2017-12-01
Colección:Trauma Surgery & Acute Care Open
Acceso en línea:https://tsaco.bmj.com/content/2/1/e000063.full
Descripción
Sumario: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