Portal de Periódicos da CAPES

Anesthesia for Emergency Abdominal Surgery

2015; Elsevier BV; Volume: 33; Issue: 1 Linguagem: Inglês

10.1016/j.anclin.2014.11.012

2210-3538

Carol J. Peden, Michael J. Scott,

Hemodynamic Monitoring and Therapy

Emergency abdominal surgery has a high mortality, with an incidence of around 15% for all patients. Mortality in elderly patients is up to 25%, and 1-year mortality for emergent colorectal resection for patients over 80 years is around 50%. Patients presenting to hospital are often given low priority. Definitive surgery is not always possible and it may be more important to control the septic focus and to revisit surgery later. The literature is poor for such a common procedure, but there is evidence that a standardized pathway focusing on rapid diagnosis; resuscitation; sepsis treatment; and, if appropriate, urgent surgery followed by admission to intensive care improves outcomes.