Does a bundle of care for acute abdominal pain reduce mortality and improve outcomes after surgery in high-risk patients?
A bundle of care for acute abdominal pain, including rapid diagnosis and parallel resuscitation, is recommended to reduce mortality in high-risk patients.
WHAT?: A bundle of care for acute abdominal pain has two components that run in parallel-a diagnostic pathway to quickly arrive at a diagnosis and thereby provide the opportunity for source control, and a parallel pathway of resuscitation and optimization before surgery.• WHY?: Patients with a clinical suspicion of bowel obstruction, gastrointestinal perforation, and mesenteric ischaemia represent a high-risk group and demand special attention.Patients are often older, have co-morbidities, and 30-50 per cent present with systemic inflammatory response, sepsis, or septic shock.The bundle should be initiated immediately to reduce mortality and improve outcomes after surgery.
Kokotovic et al. (Fri,) studied this question.
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