Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Introduction
- Risk Scoring and ICU Triage
- Pre-optimisation/Prehabilitation
- Intraoperative Care
- Perioperative Fluid Management
- Post-operative Care
- Evidence for Intensive Care in High-Risk Surgical Patients
- Conclusion
- Introduction
- Handover
- Examination
- Investigations in the Post-operative Setting
- Introduction
- Criteria for CCU Admission Following Craniotomy
- Interventions Requiring CCU Admission
- Complications Requiring CCU Admission
- Pain Management
- Conclusion
- Introduction
- Cardiovascular
- Renal Failure
- Hepatorenal Syndrome
- Ventilation
- Allograft Function
- Infection
- Nutrition
- Post-operative Complications in the ICU
- Introduction
- Monitoring
- Haemodynamics
- Right Ventricular Failure
- Rate and Rhythm
- Fluids and Renal Function
- Bleeding
- Immunosuppression and Infection
- Acute Rejection
- Non-cardiac Surgery in Heart Transplant Patients
- Introduction
- Surgery and Monitoring
- Management after Lung Transplant
- Complications after Lung Transplant
- Introduction
- Severity of Injury
- Problems and Treatment Strategies in the ICU
- Introduction
- Multi-modal, Opioid-Sparing Analgesia
- Effective Circulating Volume/Adequate Resuscitation
- Addressing the Need for Anti-microbial Treatment
- Nutritional Support
- Prophylaxis against ICU Complications
- Abdominal Catastrophes
- 6.1 Management of Pre- and Post-operative Care of the High-Risk Surgical Patient
- 6.2 Management of the Critical Care Patient Following Cardiac Surgery
- 6.3 Management of the Critical Care Patient Following Craniotomy
- 6.4 Management of the Critical Care Patient Following Liver Transplant
- 6.5 Management of the Critical Care Patient Following Heart Transplant
- 6.6 Management of the Critical Care Patient Following Lung Transplant
- 6.7 Pre- and Post-operative Management of the Critical Care Trauma Patient
- 6.8 Management of the Critical Care Patient Following Major Abdominal Surgery
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
6.8 - Management of the Critical Care Patient Following Major Abdominal Surgery
from Section 6 - Perioperative Care
Published online by Cambridge University Press: 27 July 2023
Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Introduction
- Risk Scoring and ICU Triage
- Pre-optimisation/Prehabilitation
- Intraoperative Care
- Perioperative Fluid Management
- Post-operative Care
- Evidence for Intensive Care in High-Risk Surgical Patients
- Conclusion
- Introduction
- Handover
- Examination
- Investigations in the Post-operative Setting
- Introduction
- Criteria for CCU Admission Following Craniotomy
- Interventions Requiring CCU Admission
- Complications Requiring CCU Admission
- Pain Management
- Conclusion
- Introduction
- Cardiovascular
- Renal Failure
- Hepatorenal Syndrome
- Ventilation
- Allograft Function
- Infection
- Nutrition
- Post-operative Complications in the ICU
- Introduction
- Monitoring
- Haemodynamics
- Right Ventricular Failure
- Rate and Rhythm
- Fluids and Renal Function
- Bleeding
- Immunosuppression and Infection
- Acute Rejection
- Non-cardiac Surgery in Heart Transplant Patients
- Introduction
- Surgery and Monitoring
- Management after Lung Transplant
- Complications after Lung Transplant
- Introduction
- Severity of Injury
- Problems and Treatment Strategies in the ICU
- Introduction
- Multi-modal, Opioid-Sparing Analgesia
- Effective Circulating Volume/Adequate Resuscitation
- Addressing the Need for Anti-microbial Treatment
- Nutritional Support
- Prophylaxis against ICU Complications
- Abdominal Catastrophes
- 6.1 Management of Pre- and Post-operative Care of the High-Risk Surgical Patient
- 6.2 Management of the Critical Care Patient Following Cardiac Surgery
- 6.3 Management of the Critical Care Patient Following Craniotomy
- 6.4 Management of the Critical Care Patient Following Liver Transplant
- 6.5 Management of the Critical Care Patient Following Heart Transplant
- 6.6 Management of the Critical Care Patient Following Lung Transplant
- 6.7 Pre- and Post-operative Management of the Critical Care Trauma Patient
- 6.8 Management of the Critical Care Patient Following Major Abdominal Surgery
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
Summary
Key Learning Points
1. Analgesia should be multi-modal and opioid-sparing.
2. Adequate resuscitation and management of effective circulation.
3. Intensive care unit-related complications should be prevented.
4. Nutritional support should be addressed.
5. Abdominal catastrophes should be recognised and prevented.
- Type
- Chapter
- Information
- Intensive Care MedicineThe Essential Guide, pp. 648 - 652Publisher: Cambridge University PressPrint publication year: 2021
References
References and Further Reading
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Clain, J, Ramar, K, Surani, S. Glucose control in critical care. World J Diabetes 2015;6:1082–91.CrossRefGoogle ScholarPubMed
de Lacerda Vidal, CF, de Lacerda Vidal, AK, de Moura Monteiro, JG, et al. Impact of oral hygiene involving toothbrushing versus chlorhexidine in the prevention of ventilator associated pneumonia: a randomized study. BMC Infect Dis 2017;17:112.CrossRefGoogle ScholarPubMed
English, W. Abdominal compartment syndrome. Update in Anaesthesia. resources.wfsahq.org/wp-content/uploads/uia28-Abdominal-compartment-syndrome.pdfGoogle Scholar
English, W, McCormick, B. 2008. Abdominal compartment syndrome tutorial of the week. Number 120. resources.wfsahq.org/atotw/abdominal-compartment-syndrome-tutorial-of-the-week-number-120/Google Scholar
Garde, M, Quintel, M, Ghadimi, M. Standard perioperative management in gastrointestinal surgery. Langenbecks Arch Surg 2011;296:591–606.CrossRefGoogle Scholar
Harvey, SE, Parrot, F, Harrison, DA, et al. Trial of the route of early nutritional support in critically ill adults. N Engl J Med 2014;371:1673–84.CrossRefGoogle ScholarPubMed
Holst, LB, Haase, N, Wetterslev, J, et al. Lower versus higher haemoglobin threshold for transfusion in septic shock (TRISS trial). N Engl J Med 2014;371:1381–91.CrossRefGoogle Scholar
McDermott, FD, Arora, S, Smith, J, et al.; Association of Surgeons of Great Britain and Ireland, The Association of Coloproctology of Great Britain and Ireland. 2016. Prevention, diagnosis and management of colorectal anastomotic leakage. www.acpgbi.org.uk/_userfiles/import/2017/02/Prevention-diagnosis-and-management-of-colorectal-anastomotic-leakage-ASGBI-ACPGBI-2016.pdfGoogle Scholar
National Institute for Health and Care Excellence. Nutrition support in adults. London: National Institute for Health and Care Excellence; 2006.Google Scholar