Common Procedures in the ICU

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This is a unique question-and-answer chapter for surgical residents and trainees, concentrating on the common procedures in the intensive care unit (ICU). Catheter-related blood stream infections remain a significant problem in the ICU. Temporary transvenous cardiac pacemakers are most often placed for symptomatic bradycardia, but can also be used for overdrive pacing in patients with tachyarrhythmias. Percutaneous dilatational tracheostomy (PDT) was introduced in the mid-1980s and has since become a standard technique in the ICU due to multiple reports of its safety, cost savings, and ease of performance. Multiple procedures, including bedside laparoscopy, endoscopic retrograde cholangiopancreatography (ERCP), and abdominal explorations have been shown to be safe in the ICU setting when performed by experienced personnel. Percutaneous endoscopic gastrostomy (PEG) is less invasive than an open gastrostomy tube and can be performed in a variety of locations, including the ICU.

Original languageAmerican English
Title of host publicationSurgical Critical Care and Emergency Surgery
Subtitle of host publicationClinical Questions and Answers: Second Edition
PublisherWiley-Blackwell
Pages253-260
Number of pages8
ISBN (Electronic)9781119317913
ISBN (Print)9781119317920
DOIs
StatePublished - Apr 3 2018

ASJC Scopus subject areas

  • General Medicine

Keywords

  • Bedside laparoscopy
  • Endoscopic retrograde cholangiopancreatography
  • Intensive care unit
  • Open gastrostomy tube
  • Percutaneous dilatational tracheostomy
  • Percutaneous endoscopic gastrostomy

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