We have located links that may give you full text access.
JOURNAL ARTICLE
REVIEW
Damage Control and the Open Abdomen: Challenges for the Nonsurgical Intensivist.
Journal of Intensive Care Medicine 2016 October
BACKGROUND: As strategies in acute care surgery focus on damage control to restore physiology, intensivists spanning all disciplines care for an increasing number of patients requiring massive transfusion, temporary abdominal closures, and their sequelae.
OBJECTIVE: To equip the nonsurgical intensivist with evidence-based management principles for patients with an open abdomen after damage control surgery.
DATA SOURCE: Search of PubMed database and manual review of bibliographies from selected articles.
DATA SYNTHESIS AND CONCLUSIONS: Temporary abdominal closure improves outcomes in patients with abdominal compartment syndrome, hemorrhagic shock, and intra-abdominal sepsis but creates new challenges with electrolyte derangement, hypovolemia, malnutrition, enteric fistulas, and loss of abdominal wall domain. Intensive care of such patients mandates attention to resuscitation, sepsis control, and expedient abdominal closure.
OBJECTIVE: To equip the nonsurgical intensivist with evidence-based management principles for patients with an open abdomen after damage control surgery.
DATA SOURCE: Search of PubMed database and manual review of bibliographies from selected articles.
DATA SYNTHESIS AND CONCLUSIONS: Temporary abdominal closure improves outcomes in patients with abdominal compartment syndrome, hemorrhagic shock, and intra-abdominal sepsis but creates new challenges with electrolyte derangement, hypovolemia, malnutrition, enteric fistulas, and loss of abdominal wall domain. Intensive care of such patients mandates attention to resuscitation, sepsis control, and expedient abdominal closure.
Full text links
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app