Beyond the Basics: Recommended Approach to Severe Acute Pancreatitis Management in the Critical Care Setting.

IF 3 3区 医学 Q2 CRITICAL CARE MEDICINE
Zaid Alkaissy, Kelli Kosako Yost, Megan B Ghai, Khaled Malkawi, Mustafa Nawaz, Wahid Wassef
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引用次数: 0

Abstract

Acute Pancreatitis (AP) poses a significant healthcare burden globally. While most cases present with a mild course, approximately one-fifth progress to severe forms characterized by severe pancreatitis and systemic complications, leading to a mortality rate of up to 40%. Effective management of severe acute pancreatitis necessitates a multidisciplinary approach involving gastroenterologists, interventional radiologists, intensive care teams, and surgeons. The advances in treatment modalities, including early hydration, nutrition, and pain control, have led to a decrease in the morbidity and long-term complications associated with severe acute pancreatitis down to 20%. In this review, we focus on the management challenges and outcomes associated with the difficult condition of severe acute pancreatitis.

超越基础:重症监护环境中重症急性胰腺炎管理的推荐方法。
急性胰腺炎(AP)在全球范围内造成了重大的医疗负担。虽然大多数病例的病程较轻,但约有五分之一的病例发展为以严重胰腺炎和全身并发症为特征的严重形式,导致死亡率高达40%。严重急性胰腺炎的有效治疗需要多学科合作,包括胃肠病学家、介入放射科医生、重症监护小组和外科医生。治疗方式的进步,包括早期水合作用、营养和疼痛控制,使重症急性胰腺炎的发病率和长期并发症下降到20%。在这篇综述中,我们关注重症急性胰腺炎相关的治疗挑战和结果。
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来源期刊
Journal of Intensive Care Medicine
Journal of Intensive Care Medicine CRITICAL CARE MEDICINE-
CiteScore
7.60
自引率
3.20%
发文量
107
期刊介绍: Journal of Intensive Care Medicine (JIC) is a peer-reviewed bi-monthly journal offering medical and surgical clinicians in adult and pediatric intensive care state-of-the-art, broad-based analytic reviews and updates, original articles, reports of large clinical series, techniques and procedures, topic-specific electronic resources, book reviews, and editorials on all aspects of intensive/critical/coronary care.
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