The intensive care unit in the postoperative period of major abdominal surgery
Med Intensiva (Engl Ed). 2019 Dec;43(9):569-577.
doi: 10.1016/j.medin.2019.05.007.
Epub 2019 Aug 1.
[Article in
English,
Spanish]
Affiliations
- 1 Servicio de Cuidados Intensivos, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: apuppo@msn.com.
- 2 Servicio de Cuidados Intensivos, Hospital Universitario Henares, Madrid, España.
- 3 Unidad de Innovación y Cirugía Mínimamente Invasiva, Servicio Cirugía General y Digestiva, Hospital Universitario Virgen del Rocío, Sevilla, España.
- 4 Servicio Cirugía General, Hospital Universitario Henares, Madrid, España.
Abstract
Despite low mortality in patients undergoing major abdominal surgery, the number of high-risk patients is increasing and has become a health problem. At present, surgery is understood as a continuous process, in which numerous guidelines added to less invasive techniques offering a lesser physiological impact upon patients with serious comorbidities are responsible for the final outcome. The prevention, identification and early treatment of complications prove as important as the preoperative or surgical technique.?The introduction of ERAS (enhanced recovery after surgery) protocols is the cornerstone for the management of these patients, and is advocated by most surgical societies for reducing mortality, length of hospital stay and hospital costs. The postoperative management of these patients in postsurgery Intensive Care Units guarantees effectiveness and efficiency in maintaining optimum patient care.
Keywords:
Cirugía; Intensive Care Medicine; Medicina Intensiva; Outcome; Pronóstico; Surgery.
Copyright © 2019 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.
MeSH terms
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Abdomen / surgery*
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Analgesia
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Anesthesia / standards
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Antibiotic Prophylaxis
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Enhanced Recovery After Surgery*
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Feeding Methods
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Fluid Therapy
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Humans
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Intensive Care Units*
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Minimally Invasive Surgical Procedures
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Monitoring, Physiologic / methods
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Postoperative Care / methods*
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Postoperative Complications / diagnosis
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Postoperative Complications / etiology
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Postoperative Complications / mortality
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Postoperative Complications / prevention & control*
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Postoperative Period
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Preoperative Care / methods*
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Venous Thromboembolism / prevention & control