Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit?  

作　　者：Mirko Barone Regina Frontera Rita Vaia Liouras Massimo Ippoliti Luca Serano Carmine Giovanni lovino Ivan Dell’Atti Luigi Vetrugno Felice Mucilli Salvatore Maurizio Maggiore 

机构地区：[1]Department of General and Thoracic Surgery,SS.Annunziata University Hospital,Chieti,Italy [2]Department of Anaesthesiology and Intensive Care Medicine,SS.Annunziata University Hospital,Chieti,Italy [3]G.d’Annunzio University,School of Medicine,Chieti,Italy

出　　处：《Emergency and Critical Care Medicine》2024年第4期139-142,共4页急危重症医学(英文)

摘　　要：Non-occlusive mesenteric ischemia in critically ill patients still has a poor prognosis. Despite several established risk factors, the interaction between clinical conditions and perfusion mismatch often leads to progressive organ failure. Workup is challenging because of the absence of typical abdominal signs and symptoms due to sedation, poor reactivity, need for ventilation, and confounding comorbidities. Moreover, imaging has poor specificity with findings often inconclusive. A bedside exploratory laparoscopy, as a complementary strategy, would allow for early and prompt diagnosis. Limits of a minimally invasive surgical rationale lie upon the effects of pneumoperitoneum induction, surgical stress, logistical resources, expertise, and costs.

关 键 词：Acute abdomen Intensive care unit LAPAROSCOPY Non-occlusive mesenteric ischemia 

分 类 号：R73[医药卫生—肿瘤]