Emergency and urgent surgery

Document Type

Article

Publication Title

The Medical clinics of North America

Abstract

Patients presenting with general surgical emergencies are hypovolemic, and require early aggressive resuscitative efforts. Although these efforts may safely be accomplished preoperatively in a select subset of patients, it is often the combined task of surgeons, anesthesiologists, and internists to optimize these critically ill patients in the intraoperative and postoperative period. Early surgical consultation and intervention can be lifesaving. This article presents the current state of emergency surgical care in the United States and the approach to the patient with an emergency surgical illness. The aggressiveness of the surgical intervention is patient- and disease-specific and requires frequent and open communication between all health care providers, the patient, and his or her family. In addition to aggressive resuscitation, life-threatening general surgical conditions often require specific diagnostic and therapeutic interventions.

First Page

1131

Last Page

48

DOI

10.1016/j.mcna.2009.05.011

Publication Date

9-1-2009

Identifier

19665625 (pubmed); 10.1016/j.mcna.2009.05.011 (doi); S0025-7125(09)00066-2 (pii)

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