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Intensive Care for Emergency SurgeonsAdmission/Discharge Criterion for Acute Care Surgery Patients in the ICU: A General Review of ICU Admission and Discharge Indications

Intensive Care for Emergency Surgeons: Admission/Discharge Criterion for Acute Care Surgery... [Surgical patients requiring intensive care unit [ICU] care originate from a variety of admitting primary services and may require critical care services at any time during their course of illness. This care spectrum can range from routine postoperative monitoring of complex cases to resuscitation to restore normal physiology and correct metabolic acidosis, hypothermia, and coagulopathy. This chapter will discuss admission and discharge criterion for acute care surgery patients in the ICU. Additional concepts to be discussed include the use of rapid response teams as an aid to ICU triage, ICU organization, frailty of patients in advanced age, clinical scoring systems, futility versus care that is appropriate for a given diagnosis, advanced directives, ICU economics, communication best practices, and family engagement. It is imperative that acute care surgeons practicing around the world, in hospital models with variable resources, understand these concepts to optimizing patient care.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Intensive Care for Emergency SurgeonsAdmission/Discharge Criterion for Acute Care Surgery Patients in the ICU: A General Review of ICU Admission and Discharge Indications

Part of the Hot Topics in Acute Care Surgery and Trauma Book Series
Editors: Picetti, Edoardo; Pereira, Bruno M.; Razek, Tarek; Narayan, Mayur; Kashuk, Jeffry L.
Narayan, Mayur; Kashuk, Jeffry L.
Intensive Care for Emergency Surgeons — May 30, 2019
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Publisher
Springer International Publishing
Copyright
© Springer Nature Switzerland AG 2019
ISBN
978-3-030-11829-7
Pages
1 –21
DOI
10.1007/978-3-030-11830-3_1
Publisher site
See Chapter on Publisher Site

Abstract

[Surgical patients requiring intensive care unit [ICU] care originate from a variety of admitting primary services and may require critical care services at any time during their course of illness. This care spectrum can range from routine postoperative monitoring of complex cases to resuscitation to restore normal physiology and correct metabolic acidosis, hypothermia, and coagulopathy. This chapter will discuss admission and discharge criterion for acute care surgery patients in the ICU. Additional concepts to be discussed include the use of rapid response teams as an aid to ICU triage, ICU organization, frailty of patients in advanced age, clinical scoring systems, futility versus care that is appropriate for a given diagnosis, advanced directives, ICU economics, communication best practices, and family engagement. It is imperative that acute care surgeons practicing around the world, in hospital models with variable resources, understand these concepts to optimizing patient care.]

Published: May 30, 2019

Keywords: Intensive care; Critical care; Admission; Discharge; Triage; Criteria; Guidelines; Prioritization; Prognostic scoring systems

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