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Interventional Critical Care pp 327–337Cite as

Decompressive Laparotomy

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Abstract

Bedside decompressive laparotomy in the intensive care unit can be performed for patients deemed too unstable for transfer to the operating room. However, significant planning, logistics, and infrastructure are required in order to deliver this care in a safe and reliable fashion.

In this chapter, we will review the indications and relevant patient selection criteria. Additionally, the logistics, planning, and acquisition of durable equipment and supplies required to transition an ICU room to an operative suite will be reviewed. Finally, specific personnel training and familiarity is essential as formal operating room staff are often not involved in bedside surgery in the ICU.

There are also hemodynamic changes relevant to patient management while undergoing a decompressive laparotomy that must be managed from the medical/critical care standpoint that are separate from the surgical procedure. This physiology will also be reviewed in this chapter.

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Conflict of Interest

No author has a conflict of interest or financial disclosure necessary.

Author information

Authors and Affiliations

  1. Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, 3400 Spruce Street, 5 Maloney Building, Philadelphia, PA, 19104, USA

    Michael Pisa CRNP, Jason Saucier CRNP & Niels D. Martin MD, FACS

Authors
  1. Michael Pisa CRNP
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  2. Jason Saucier CRNP
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  3. Niels D. Martin MD, FACS
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Corresponding author

Correspondence to Niels D. Martin MD, FACS .

Editor information

Editors and Affiliations

  1. Carolinas HealthCare System, Charlotte, North Carolina, USA

    Dennis A. Taylor

  2. Department of Surgery, Oregon Health and Sciences University, Portland, Oregon, USA

    Scott P. Sherry

  3. Carolinas HealthCare System, Charlotte, North Carolina, USA

    Ronald F. Sing

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© 2016 Springer International Publishing Switzerland

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Pisa, M., Saucier, J., Martin, N.D. (2016). Decompressive Laparotomy. In: Taylor, D., Sherry, S., Sing, R. (eds) Interventional Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-25286-5_35

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  • DOI: https://doi.org/10.1007/978-3-319-25286-5_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-25284-1

  • Online ISBN: 978-3-319-25286-5

  • eBook Packages: MedicineMedicine (R0)

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