Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Acute Pancreatitis

Video Transcription

Video Summary

This discussion covers pancreatitis management in ICU settings, emphasizing that patient care is consistent across MICU and SICU units. Key aspects include identifying severity via history, physical exam, and lab markers like amylase, lipase, and CRP. Gallstones and alcohol are leading causes of pancreatitis. Newer classifications like the revised Atlanta classification (2012) categorize pancreatitis as mild, moderate, or severe.<br /><br />For severe cases, monitoring for complications like intraabdominal hypertension is vital. Empirical antibiotics don't reduce complications but increase the risk of infection. Nutritional support via elemental diets is preferable to TPN due to better outcomes. Infected necrosis calls for CT-guided drainage or, preferably, endoscopic interventions over surgical procedures due to lower complication rates. Procedures like ERCP are crucial for cases with biliary obstruction, while surgical interventions are a last resort. Proper management reduces mortality and improves quality of care for pancreatitis patients.

Keywords

pancreatitis

ICU management

revised Atlanta classification

nutritional support

endoscopic interventions

ERCP

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