Open abdomen critical care management principles: resuscitation, fluid balance, nutrition, and ventilator management

Trauma Surgery & Acute Care Open
Elizabeth Chabot, Ram Nirula

Abstract

The term "open abdomen" refers to a surgically created defect in the abdominal wall that exposes abdominal viscera. Leaving an abdominal cavity temporarily open has been well described for several indications, including damage control surgery and abdominal compartment syndrome. Although beneficial in certain patients, the act of keeping an abdominal cavity open has physiologic repercussions that must be recognized and managed during postoperative care. This review article describes these issues and provides guidelines for the critical care physician managing a patient with an open abdomen.

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Citations

Feb 13, 2018·World Journal of Emergency Surgery : WJES·Federico CoccoliniFausto Catena
Dec 29, 2018·International Journal of Older People Nursing·Monique LhussierRoss Hetherington
Sep 14, 2018·The Journal of Trauma and Acute Care Surgery·Luis R TaverasMichael W Cripps
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Jan 22, 2020·Critical Care Nurse·Steven WisemanKatie Love Bower
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Nov 24, 2020·Trauma Surgery & Acute Care Open·Joao Baptista Rezende-Neto, Bruna Gewehr Camilotti
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Mar 17, 2021·AACN Advanced Critical Care·Shannon Gaasch
Nov 4, 2021·Anesthesiology·Michael MazzeffiClare Rock
Sep 26, 2021·Current Opinion in Critical Care·Sharon EinavMarc Leone

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Methods Mentioned

BETA
sedation

Software Mentioned

NPWT

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