• 作者：E. Maraví ; Poma^a ; ^{enrique.maravi.poma@navarra.es} ; C. Laplaza Santos^a ; B. Gorraiz Ló ; pez^b ; E. Albeniz Arbizu^c ; F. Zubia Olascoaga^d ; M.S. Petrov^e ; F.A. Morales^f ; M. Aizcorbe Garralda^g ; M. Casi Villaroya^g ; J.A. Sá ; nchez-Izquierdo Riera^h ; V. Ló ; pez Campsⁱ ; E. Regidor Sanzⁱ ; M. Loinaz Bordonabe^j ; J.L. do Pico^k ; Grupo Hoja de Ruta de la PAG en Intensivos^&loz ;
• 关键词：Hoja de ruta ; Pancreatitis ; Clasificaci&oacute ; n de pancreatitis aguda ; Pancreatitis aguda potencialmente grave ; Algoritmos pancreatitis ; Signos de alarma pancreá ; tica
• 刊名：Medicina Intensiva
• 出版年：2012
• 期刊代码：pca255_02105691
• 类别：med
• 出版时间：June-July, 2012
• 卷：36
• 期：5
• 页码：351-357
• 文件大小：194 K

There 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 鈥渁larm signs鈥? the use of therapeutic modalities known as PANCREAS, and the 鈥渃all to ICU鈥?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.