Clinical pathways in acute pancreatitis: recommendations for early multidisciplinary management. Scientific Committee of the SEMICYUC. Working Group on Infectious Diseases (GTEI-SEMICYUC)

Medicina intensiva
E Maraví PomaWorking Group on Infectious Diseases (GTEI-SEMICYUC)

Abstract

There is a growing body of evidence that early management of patients with acute pancreatitis may alter the natural course of disease and improve outcomes of patients. The aim of this paper is to optimize the management of patients with acute pancreatitis during the first 72 h after hospital admission by proposing several clinical care pathways. The proposed pathways are based on the SEMICYUC 2005 Recommendations with incorporation of the latest developments in the field, particularly the determinants-based classification of acute pancreatitis severity. The pathways also incorporate the "alarm signs", the use of therapeutic modalities known as PANCREAS, and the "call to ICU" criteria. Further studies will need to assess whether the adoption of these pathway reduces mortality and morbidity in patients with acute pancreatitis. The previous SEMICYUC guidelines on management of patients with acute pancreatitis in Intensive Care will need to be revised to reflect the recent developments in the field.

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Citations

Apr 2, 2013·Medicina intensiva·E Maraví PomaUNKNOWN Grupo de Trabajo CC – Recomendaciones PAPG 2012, GTEI-SEMICYUC
Dec 31, 2017·Inflammation Research : Official Journal of the European Histamine Research Society ... [et Al.]·Sayali A PendharkarMaxim S Petrov
Apr 14, 2019·European Radiology·Steve V DeSouzaMaxim S Petrov

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