Operative Procedures in the Intensive Care Unit

Chapter

Abstract

Procedures in the intensive care unit (ICU) have traditionally been limited to short procedures that can be performed using only local anesthesia. With the advent of the field of acute care surgery – a blend of trauma, emergency general surgery, and surgical critical care – instances have evolved in which operating in the ICU is not only possible but also necessary. Increased recognition of abdominal compartment syndrome and the use of damage control strategies in both trauma and non-trauma patients have contributed to this change. In general, two types of procedures are performed in the ICU: lifesaving procedures for which a patient is too unstable to attempt transfer to the operating room and uncomplicated procedures for which transfer to the operating room seems unwarranted. Careful organization and preparation with a multidisciplinary team are crucial to ensure patient and clinician safety in both elective and emergent procedures.

Keywords

Acute care surgery Bedside laparotomy Temporary abdominal closure Abdominal compartment syndrome Tracheostomy Percutaneous endoscopic gastrostomy 

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Copyright information

© Springer International Publishing Switzerland 2016

Open Access This chapter is distributed under the terms of the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  1. 1.Department of SurgeryNYU Langone Medical CenterNew YorkUSA

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