Mitra Lalita Gouri, Saluja Vandana, Dhingra Udit
Department of Anesthesia and Critical Care, Institute of Liver and Biliary Sciences, New Delhi, India.
Indian J Crit Care Med. 2020 Sep;24(Suppl 4):S193-S200. doi: 10.5005/jp-journals-10071-23613.
One of the damage control strategies used to avoid or treat abdominal compartment syndrome is "open abdomen (OA)," where the facial edges and the skin is left open, exposing the abdominal viscera. Although it reduces the mortality both in trauma and non-trauma abdominal complications, it does create a significant challenge in an intensive care setting, as it has physiological consequences that need early recognition and prompt treatment both in the intensive care unit and in the operating room. The article aims to review literature on "open abdomen," describe the challenges in such cases, and proposes a guideline for the intensivist in managing a patient with an OA. Mitra LG, Saluja V, Dhingra U. Open Abdomen in a Critically Ill Patient. Indian J Crit Care Med 2020;24(Suppl 4):S193-S200.
用于避免或治疗腹腔间隔室综合征的损伤控制策略之一是“开放性腹腔（OA）”，即腹壁边缘和皮肤保持开放，暴露腹腔脏器。尽管它降低了创伤和非创伤性腹部并发症的死亡率，但在重症监护环境中确实带来了重大挑战，因为它会产生一些生理后果，需要在重症监护病房和手术室中尽早识别并迅速处理。本文旨在回顾关于“开放性腹腔”的文献，描述此类病例中的挑战，并为重症监护医生管理开放性腹腔患者提出指导原则。米特拉·LG、萨卢贾·V、丁格拉·U。危重症患者的开放性腹腔。《印度重症监护医学杂志》2020年；24（增刊4）：S193 - S200。
