RT Book, Section
A1 Taylor, Bryce R.
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Wood, Lawrence D.H.
SR Print(0)
ID 2296554
T1 Chapter 85. Acute Pancreatitis in the Critically Ill
T2 Principles of Critical Care, 3e
YR 2005
FD 2005
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071416405
LK accesssurgery.mhmedical.com/content.aspx?aid=2296554
RD 2022/08/11
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.