Acute Abdomen for Intensive Care Medicine Purposes The acute abdomen in intensive care unit patients still remains a diagnostic and therapeutic challenge. Without any delay it has to be decided when to start with surgical interventions. Bedside diagnostic procedures such as sonography, analysis of fluid drainage, endoscopy and X-ray studies can identify the underlying problem in more than 60% of all cases. The therapeutic spectrum in patients with acute abdomen following surgical procedures has changed by the development of new interventional techniques. Intra-abdominal abscesses can be effectively managed by percutaneous drainage in more than 80% of cases. In diffuse peritonitis the surgical strategy based on primarily resolving the source of infections is generally accepted as the most important feature. In most cases surgical options are restricted to control of infectious focus, débridement and purging the abdominal cavity (standard procedure). Today, additive surgical measures are not required on a routine base. The advantage to the patient is obvious. Due to reduction of the number of reoperations, stabilization of organic functions, e. g., with early spontaneous breathing, mobilization, and enteral feeding, can be achieved in a faster way. In these patients intensive care medicine is easier, less invasive and more safe.

This content is only available via PDF.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.