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Emergency Laparotomies: Causes, Pathophysiology, and Outcomes

Emergency laparotomies have remained a challenging entity since many decades. Only during the past 10 years, serious efforts have been made to improve their outcome by conducting audits and designing care pathways. Indications for emergency laparotomies can be broadly classified into trauma and non-...

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Detalles Bibliográficos
Autores principales: Ahmed, Armin, Azim, Afzal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724938/
https://www.ncbi.nlm.nih.gov/pubmed/33354039
http://dx.doi.org/10.5005/jp-journals-10071-23612
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author Ahmed, Armin
Azim, Afzal
author_facet Ahmed, Armin
Azim, Afzal
author_sort Ahmed, Armin
collection PubMed
description Emergency laparotomies have remained a challenging entity since many decades. Only during the past 10 years, serious efforts have been made to improve their outcome by conducting audits and designing care pathways. Indications for emergency laparotomies can be broadly classified into trauma and non-trauma surgeries, which are either done for control of hemorrhage or/and done for control of sepsis and organ dysfunction. Goal-directed resuscitation for septic/hemorrhagic shock, consultant-led multidisciplinary teams, and timely transfer to intensive care units form core principles of management for these patients. Global inequity in access to standard and affordable emergency surgeries is an area of concern requiring integrated efforts at international level. How to cite this article: Ahmed A, Azim A. Emergency Laparotomies: Causes, Pathophysiology, and Outcomes. Indian J Crit Care Med 2020;24(Suppl 4):S183–S189.
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spelling pubmed-77249382020-12-21 Emergency Laparotomies: Causes, Pathophysiology, and Outcomes Ahmed, Armin Azim, Afzal Indian J Crit Care Med Invited Review Emergency laparotomies have remained a challenging entity since many decades. Only during the past 10 years, serious efforts have been made to improve their outcome by conducting audits and designing care pathways. Indications for emergency laparotomies can be broadly classified into trauma and non-trauma surgeries, which are either done for control of hemorrhage or/and done for control of sepsis and organ dysfunction. Goal-directed resuscitation for septic/hemorrhagic shock, consultant-led multidisciplinary teams, and timely transfer to intensive care units form core principles of management for these patients. Global inequity in access to standard and affordable emergency surgeries is an area of concern requiring integrated efforts at international level. How to cite this article: Ahmed A, Azim A. Emergency Laparotomies: Causes, Pathophysiology, and Outcomes. Indian J Crit Care Med 2020;24(Suppl 4):S183–S189. Jaypee Brothers Medical Publishers 2020-09 /pmc/articles/PMC7724938/ /pubmed/33354039 http://dx.doi.org/10.5005/jp-journals-10071-23612 Text en Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Invited Review
Ahmed, Armin
Azim, Afzal
Emergency Laparotomies: Causes, Pathophysiology, and Outcomes
title Emergency Laparotomies: Causes, Pathophysiology, and Outcomes
title_full Emergency Laparotomies: Causes, Pathophysiology, and Outcomes
title_fullStr Emergency Laparotomies: Causes, Pathophysiology, and Outcomes
title_full_unstemmed Emergency Laparotomies: Causes, Pathophysiology, and Outcomes
title_short Emergency Laparotomies: Causes, Pathophysiology, and Outcomes
title_sort emergency laparotomies: causes, pathophysiology, and outcomes
topic Invited Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724938/
https://www.ncbi.nlm.nih.gov/pubmed/33354039
http://dx.doi.org/10.5005/jp-journals-10071-23612
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