Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9209344 | Medicina Intensiva | 2005 | 26 Pages |
Abstract
Recommendations in SAP, among which we emphasize: Decrease in mortality of SAP depends on the early stratifying of the serious forms to the hospital door, during the first 48-96 hours and early admission in Intensive Care. Patient who have a progressive organic deterioration, although they do not require ventilatory support, should be admitted to the ICU. Each Center should agree on an interdisciplinary protocol. Antibiotics as prophylaxis do not have a strong evidence base. They would only be indicated in necrotizing forms and while waiting for a new on-going double blind clinical trial with meropenem. Surgical treatment is indicated in infected pancreatic necrosis or abscess, identified by radiology or radioguided puncture. Management of the sterile forms should be conservative.
Keywords
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Authors
E. Maravà Poma, I. Jiménez Urra, J. Gener Raxarch, F. Zubia Olascoaga, M. Pérez Mateo, J.D. Casas Curto, J.C. Montejo González, A. GarcÃa de Lorenzo, V. López Camps, E. Fernández Mondéjar, F. Álvarez Lerma, J. Vallés Daunis,