Often multifactorial: ARDS due to systemic cytokine release Pleural effusions due to third space fluid mobilization and aggressive fluid resuscitation· Pulmonary oedema (decreased cardiac contractility, capillary leak, fluid resuscitation)· Aspiration pneumonia...
UK guidelines state that all patients with acute severe pancreatitis should be managed on the high dependency unit (HDU): Can be difficult in practice – ensure all referred to the critical care outreach team for regular review and escalation of care if...
Key PrinciplesAggressive fluid resuscitation and pain managementEarly ERCP if indicatedEarly enteral feeding (preferably via NG route)Avoid early surgical intervention for necrotic pancreatitisVigilant supportive care to avoid complications Initial Resuscitation &...
Early EN is now standard of care in patients with acute pancreatitis Recent research suggests improved outcomes compared with previous strategies of pancreatic rest with TPN Guidance recommends commencing within 72 hours if intolerant of oral intake Enteral nutrition...
Antibiotics should be used in any case of pancreatitis complicated by infected pancreatic necrosis but should not be given routinely for fever, especially early in the presentation: Carbapenem usually the best class due to penetration in to pancreatic tissue Fungal...
