Intestinal perforation and obstruction are critical conditions encountered in the ICU setting, requiring immediate and structured management due to the risks of sepsis, peritonitis, and rapid deterioration. These conditions commonly arise from underlying diseases such as adhesions following previous surgeries, colorectal cancer, and inflammatory conditions. This chapter provides an evidence-based approach to managing intestinal perforation and obstruction, emphasizing the importance of prompt diagnostic evaluation, appropriate patient stratification, and interprofessional collaboration [1] [Ref: Algorithm 37.1].

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Approach to Intestinal Perforation or Obstruction in the ICU

  • Shakti Bedanta Mishra,
  • Samir Samal,
  • Sagarika Panda

摘要

Intestinal perforation and obstruction are critical conditions encountered in the ICU setting, requiring immediate and structured management due to the risks of sepsis, peritonitis, and rapid deterioration. These conditions commonly arise from underlying diseases such as adhesions following previous surgeries, colorectal cancer, and inflammatory conditions. This chapter provides an evidence-based approach to managing intestinal perforation and obstruction, emphasizing the importance of prompt diagnostic evaluation, appropriate patient stratification, and interprofessional collaboration [1] [Ref: Algorithm 37.1].