Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit?
Abstract. 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 ty...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health/LWW
2024-12-01
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| Series: | Emergency and Critical Care Medicine |
| Online Access: | http://journals.lww.com/10.1097/EC9.0000000000000107 |
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| author | Mirko Barone Regina Frontera Rita Vaia Liouras Massimo Ippoliti Luca Serano Carmine Giovanni Iovino Ivan Dell’Atti Luigi Vetrugno Felice Mucilli Salvatore Maurizio Maggiore |
| author_facet | Mirko Barone Regina Frontera Rita Vaia Liouras Massimo Ippoliti Luca Serano Carmine Giovanni Iovino Ivan Dell’Atti Luigi Vetrugno Felice Mucilli Salvatore Maurizio Maggiore |
| author_sort | Mirko Barone |
| collection | DOAJ |
| description | Abstract. 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. |
| format | Article |
| id | doaj-art-729cb4e1d7af4531b8a8961a774acbc5 |
| institution | OA Journals |
| issn | 2097-0617 2693-860X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Emergency and Critical Care Medicine |
| spelling | doaj-art-729cb4e1d7af4531b8a8961a774acbc52025-08-20T02:26:10ZengWolters Kluwer Health/LWWEmergency and Critical Care Medicine2097-06172693-860X2024-12-014413914210.1097/EC9.0000000000000107202412000-00001Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit?Mirko Barone0Regina Frontera1Rita Vaia Liouras2Massimo Ippoliti3Luca Serano4Carmine Giovanni Iovino5Ivan Dell’Atti6Luigi Vetrugno7Felice Mucilli8Salvatore Maurizio Maggiore9a Department of General and Thoracic Surgery, SS. Annunziata University Hospital, Chieti, Italyb Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata University Hospital, Chieti, Italyb Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata University Hospital, Chieti, Italya Department of General and Thoracic Surgery, SS. Annunziata University Hospital, Chieti, Italyb Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata University Hospital, Chieti, Italyb Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata University Hospital, Chieti, Italyb Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata University Hospital, Chieti, Italyb Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata University Hospital, Chieti, Italya Department of General and Thoracic Surgery, SS. Annunziata University Hospital, Chieti, Italyb Department of Anaesthesiology and Intensive Care Medicine, SS. Annunziata University Hospital, Chieti, ItalyAbstract. 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.http://journals.lww.com/10.1097/EC9.0000000000000107 |
| spellingShingle | Mirko Barone Regina Frontera Rita Vaia Liouras Massimo Ippoliti Luca Serano Carmine Giovanni Iovino Ivan Dell’Atti Luigi Vetrugno Felice Mucilli Salvatore Maurizio Maggiore Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit? Emergency and Critical Care Medicine |
| title | Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit? |
| title_full | Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit? |
| title_fullStr | Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit? |
| title_full_unstemmed | Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit? |
| title_short | Non-occlusive mesenteric ischemia in critically ill patients: does bedside laparoscopy offer any real benefit? |
| title_sort | non occlusive mesenteric ischemia in critically ill patients does bedside laparoscopy offer any real benefit |
| url | http://journals.lww.com/10.1097/EC9.0000000000000107 |
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