Perioperative treatment of patients undergoing acute high-risk abdominal surgery 
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Perioperative treatment of patients undergoing acute high-risk abdominal surgery
. Dan Med J. 2018 Feb;65(2): Authors: Tengberg LT Abstract Critically ill acute high-risk abdominal surgery patients represent a major challenge to health care providers, with the typical patient being elderly and frail, and with severe and multiple comorbidities. The mortality rate in this population is high, and the postoperative course is characterized by complications, prolonged hospitalisation and considerable risk of permanent disability. With an ageing population, the number of elderly patients, as well as challenges concerning treatment will arise, calling for a coordinated effort both nationally and internationally to enhance treatment in this vulnerable patient group. By the time of admission, the acute high-risk abdominal surgery patients are often physiologically deranged. The burden of multiple organ system dysfunction caused by an acute abdominal catastrophe, is associated with great risk. Timely stabilisation, diagnosis, pain management and surgical treatment are essential for a good out-come. Except from a few initiatives in subpopulations, there has, up until now, been an absence of organised multidisciplinary collaboration in approaching the critically ill emergency surgery patient. We have not been able, neither nationally or internationally, to introduce a standardised approach to the perioperative treatment based on the existing ev...
Source: Danish Medical Journal - Category: General Medicine Tags: Dan Med J Source Type: research