Erschienen in:
01.03.2008 | Poster presentation
Bedside laparoscopy to diagnose intrabdominal pathology in the ICU
verfasst von:
S Matano, M Bonizzoli, A Di Filippo, G Manca, A Peris
Erschienen in:
Critical Care
|
Sonderheft 2/2008
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Excerpt
The aim of the study was to evaluate the accuracy of bedside diagnostic laparoscopy (BDL) in critically ill patients (CIP) suspected to suffer from intrabdominal pathology compared with operative laparotomy or diagnostic imaging (CT scan) and to verify the safety of the procedure. In fact, a delay in the diagnosis of intrabdominal pathology could worsen the morbidity and mortality in these patients. In ICU patients treated with prolonged parenteral nutrition, mechanical ventilation and high-dose opioid analgesics, acalculous cholecystitis (AC) is a severe complication [
1]. Clinical evaluation of the abdomen is difficult as deep sedation often masks symptoms, and physical examination is inconclusive so they are potentially eligible for exploratory laparoscopy after abdominal CT. Furthermore, performing CT is often impossible because of the difficulty in safely transporting CIP. …
