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Principles of Adult Surgical Critical Care pp 515–520Cite as

Operative Procedures in the Intensive Care Unit

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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.

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Author information

Authors and Affiliations

  1. Department of Surgery, NYU Langone Medical Center, New York, NY, 10016, USA

    Greta L. Piper MD

Authors
  1. Greta L. Piper MD
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Correspondence to Greta L. Piper MD .

Editor information

Editors and Affiliations

  1. Trauma, Surgical Critical Care, Emergency Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Niels D. Martin

  2. Trauma, Surgical Critical Care, Emergency Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Lewis J. Kaplan

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© 2016 Springer International Publishing Switzerland

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Piper, G.L. (2016). Operative Procedures in the Intensive Care Unit. In: Martin, N.D., Kaplan, L.J. (eds) Principles of Adult Surgical Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-33341-0_46

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  • DOI: https://doi.org/10.1007/978-3-319-33341-0_46

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33339-7

  • Online ISBN: 978-3-319-33341-0

  • eBook Packages: MedicineMedicine (R0)

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