Abdomen in critical care medicine
Lernkarten zu PACT
Lernkarten zu PACT
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Flashcards
Was ist primäre Peritonitis und wie diagnostiziert?
=spontan bakterielle Peritonitis: mikrobiell infizierte Peritonealflüssigkeit ohne Perforation des GI-Traktes
positive abdominal fluid bacterial culture
elevated leukocyte count (≥500 cells/mm3)
Tertiäre Peritonitis?
Tertiary peritonitis is defined as persistent intra-abdominal inflammation and clinical signs of peritoneal irritation following secondary peritonitis caused by nosocomial pathogens
Ab wann spricht man von einer intraabd. Hypertension?
Was ist der normale Wert?
>12 mmHg (aber der Trend ist wichtig, nicht EIN Wert)
5mmHg entspricht physiologischem Wert
Ab wann Abdominal compartement syndrome? 2
>20 mmHg + Mono- oder Polyorganversagen
Warum ist coagulopathy, acidosis and hypothermia eine tödliche Kombination bei ICS?
- The combination of coagulopathy, acidosis and hypothermia is often referred to as the deadly triad leading to a vicious cycle with ongoing bleeding leading to further coagulation abnormalities, necessitating polytransfusion.
Wie entsteht akalkuläre Choezytitits?
impaired microcirculation in the gall bladder wall, which leads to inflammation and ischaemia
Sekundäre Peritonitis?
Secondary bacterial peritonitis is defined as a microbial infection of the peritoneal space following perforation, abscess formation, ischaemic necrosis, or penetrating injury to the intra-abdominal contents.
was ist source control? 4
Source control is based on four principles: drainage, decompression, debridement and restoration of anatomy and function
