Acute pancreatitis - resuscitation
The most important thing that should be done immediately if there is an attack of acute pancreatitis or exacerbation of chronic pancreatitis is to call an ambulance.After urgent measures designed to remove or at least reduce pain, the patient is necessarily hospitalized in a surgical hospital, and already at the waiting room the doctor decides whether to place the patient in general surgery, in the intensive care unit or in intensive care.
As most surgeons, resuscitators and anaesthesiologists believe, it is imperative to identify in the intensive care unit patients who have two or more symptoms from the following list:
- Pancreatic shock with simultaneous manifestations of an acute abdomen;
- Acute respiratory failure caused by an attack of pancreatitis;
- Acute frustration in the field of the psycho-neurological sphere, resulting from toxemia;
- Acute renal failure( or renal-hepatic insufficiency), resulting from the progression of pancreatitis or peritonitis;
- Dynamic bowel obstruction caused by peri
A patient with such signs of pancreatitis is placed in the intensive care unit where he undergoes the necessary examinations determining the severity of the course of the disease while simultaneously applying the following treatment methods:
- curative fasting for up to three days;
- detoxification and maintenance infusion therapy designed to provide vital functions of the pancreas;
- pharmacological cessation of secretion of enzymes produced by the pancreas;
- in the case of severe forms, with the risk of developing pancreatic necrosis, the patient receives antibacterial therapy, carried out with wide-spectrum drugs;
- for complex forms of pancreatitis, intravenous and intraarterial forced diuresis is used, designed to urgently remove pancreatic enzymes from the body and ensure its complete detoxification;
- if during the stay of the patient in intensive care in his abdominal cavity a large amount of hemorrhagic or serous exudate is found, he should undergo peritoneal dialysis.
After removal of an acute condition, the patient is transferred from the intensive care unit to the intensive care unit or to the general department.