-
J Intensive Care Med · Oct 2016
ReviewDamage Control and the Open Abdomen: Challenges for the Nonsurgical Intensivist.
- Cornelia Griggs and Kathryn Butler.
- Massachusetts General Hospital, Boston, MA, USA cgriggs@partners.org.
- J Intensive Care Med. 2016 Oct 1; 31 (9): 567-76.
BackgroundAs 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.ObjectiveTo equip the nonsurgical intensivist with evidence-based management principles for patients with an open abdomen after damage control surgery.Data SourceSearch of PubMed database and manual review of bibliographies from selected articles.Data Synthesis And ConclusionsTemporary 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.© The Author(s) 2015.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..