TY - CHAP M1 - Book, Section TI - Chapter 85. Acute Pancreatitis in the Critically Ill A1 - Taylor, Bryce R. A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Wood, Lawrence D.H. PY - 2005 T2 - Principles of Critical Care, 3e AB - Hypoperfusion injury is the most important of many possible causes of pancreatitis in the ICU setting.Serial computed tomography is most useful in confirming the diagnosis and in following the inflammatory process.The likelihood of multisystem failure is high, and preventive measures must be instituted early.Initial treatment is supportive, with aggressive fluid and electrolyte replacement and close monitoring of hemodynamic, pulmonary, and renal status.Surgical intervention is indicated for deteriorating patients with a surgically correctable lesion and in patients with complications of the disease, such as major hemorrhage, abscess, or symptomatic pseudocyst.Close supervision by an experienced abdominal surgeon in collaboration with an intensivist is important in recognizing the indications for surgical exploration. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2023/02/06 UR - accesssurgery.mhmedical.com/content.aspx?aid=2296554 ER -