• Medicina intensiva · Jun 2012

    Practice Guideline

    [Clinical pathways in acute pancreatitis: recommendations for early multidisciplinary management. Scientific Committee of the SEMICYUC. Working Group on Infectious Diseases (GTEI-SEMICYUC)].

    • J A Sánchez-Izquierdo Riera, E Maraví Poma, C Laplaza Santos, B Gorraiz López, E Albeniz Arbizu, F Zubia Olascoaga, F A Morales, M Aizcorbe Garralda, M Casi Villaroya, V López Camps, E Regidor Sanz, M Loinaz Bordonabe, J L do Pico, Grupo Hoja de Ruta de la PAG en Intensivos, Scientific Committee of the SEMICYUC, and Working Group on Infectious Diseases (GTEI-SEMICYUC).
    • UCI-B, Complejo Hospitalario de Navarra (antiguo H. Virgen del Camino), Pamplona, España. enrique.maravi.poma@navarra.es
    • Med Intensiva. 2012 Jun 1;36(5):351-7.

    AbstractThere is a growing body of evidence that early management of patients with acute pancreatitis may alter the natural course of disease and improve outcomes of patients. The aim of this paper is to optimize the management of patients with acute pancreatitis during the first 72 h after hospital admission by proposing several clinical care pathways. The proposed pathways are based on the SEMICYUC 2005 Recommendations with incorporation of the latest developments in the field, particularly the determinants-based classification of acute pancreatitis severity. The pathways also incorporate the "alarm signs", the use of therapeutic modalities known as PANCREAS, and the "call to ICU" criteria. Further studies will need to assess whether the adoption of these pathway reduces mortality and morbidity in patients with acute pancreatitis. The previous SEMICYUC guidelines on management of patients with acute pancreatitis in Intensive Care will need to be revised to reflect the recent developments in the field.Copyright © 2011 Elsevier España, S.L. and SEMICYUC. All rights reserved.

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