Management of acute pancreatitis in the emergency department and the intensive care unit

被引：0

作者：

Finkenstedt, Armin ^{[1
]}

Joannidis, Michael ^{[1
,2
]}

机构：

[1] Landeskrankenhaus Innsbruck, Dept Innere Med, Gemeinsame Einrichtung Internist Notfall & Intensi, Innsbruck, Austria

[2] Med Univ Innsbruck, Univ Klin Innere Med, Innsbruck, Austria

来源：

ANAESTHESIOLOGIE | 2024年 / 73卷 / 07期

关键词：

Necrosis; Endoscopic retrograde cholangiopancreatography; Enteral nutrition; Antibiotic prophylaxis; HYPERTRIGLYCERIDEMIA; CLASSIFICATION; ASSOCIATION; GUIDELINE; MORTALITY; SOCIETY; ATLANTA;

D O I：

10.1007/s00101-024-01431-3

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Acute pancreatitis is a gastrointestinal emergency where diagnosis is based on typical symptoms, increased serum lipase concentration, and abdominal imaging. Local complications and organ failure in severe acute pancreatitis regularly necessitate treatment in the intensive care unit and are associated with increased mortality rates. Only optimal interdisciplinary treatment can improve the prognosis of patients with severe acute pancreatitis. This article gives guidance on the initial diagnostic and etiological examinations as well as on the evaluation of organ failure and the severity assessment according to common classification systems. Furthermore, the endoscopic management of biliary pancreatitis and infected necrosis is discussed and the basics of targeted volume therapy, nutrition, and indications for antibiotic treatment are reviewed.

引用

页码：490 / 498

页数：9