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383663

Comparison of Clinical Outcomes between Aggressive and Non-Aggressive Intravenous Hydration for Pancreatitis

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Applied and Basic Science.

Abstract

Background: Among the most common and serious gastrointestinal illnesses that lead to hospitalizations globally, pancreatitis (AP) ranks high. There have been reports of an increase in the incidence of pancreatitis, which has an estimated worldwide incidence of 34 cases per 100,000 person-years and a fatality rate of 1.6 fatalities per 100,000 person-years. Making the right choices when managing AP in the beginning may have a major impact on how the illness progresses and how long the patient has to stay in the hospital. To avoid hypovolemia and organ hypoperfusion, fluid resuscitation using mostly isotonic crystalloid (i.e., normal saline or Ringer's lactate solution) should be started early in the course of pneumonia (AP) therapy, as per many worldwide standards. This should be done before hemodynamic deterioration has occurred. Nevertheless, there is still no consensus among the standards for the infusion rate in the design of fluid resuscitation regimens. For instance, unless there are cardiovascular and/or renal comorbidities, all patients with AP should get intensive intravenous hydration (250-500 ml/hour) during the first 12-24 hours, according to the American College of Gastroenterology (ACG) recommendations. Objective: Read this review article to find out how aggressive intravenous hydration compared to non-aggressive treatment for pancreatitis. In summary. Essential life support measures include oxygen, nourishment, intravenous fluid resuscitation, and pain medication. Discontinuation of nil-by-mouth gastric restraint, regular prophylactic antimicrobial administration, and early opiate analgesia avoidance have all been debunked in randomized studies and are not recommended in international standards.

DOI

10.21608/bjas.2024.311896.1472

Keywords

Results in Clinical Practice, pancreatitis, Intravenous Hydration, Aggressive and Non-Aggressive Cases

Authors

First Name

Youssry

Last Name

Shaheen

MiddleName

Abd rabo

Affiliation

Professor of Cardiothoracic Faculty of Medicine-Benha University

Email

youssryabdrabo@gmail.com

City

-

Orcid

-

First Name

Bassem

Last Name

Aglan

MiddleName

Mefreh

Affiliation

Assistant Professor of Cardiothoracic Faculty of Medicine Benha University

Email

bassemmefreh@gmail.com

City

-

Orcid

-

First Name

Engy

Last Name

Okab

MiddleName

Ali

Affiliation

Lecturer of Critical Care Medicine Faculty of Medicine-Benha University

Email

engyali@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

El Gouhary

MiddleName

Sami

Affiliation

Department of critical care medicine Medicine Faculty of Medicine-Benha University

Email

ahmedelgouhary60@gmail.com

City

-

Orcid

-

Volume

9

Article Issue

8

Related Issue

50150

Issue Date

2024-08-01

Receive Date

2024-08-01

Publish Date

2024-08-28

Page Start

121

Page End

137

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_383663.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=383663

Order

16

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Comparison of Clinical Outcomes between Aggressive and Non-Aggressive Intravenous Hydration for Pancreatitis

Details

Type

Article

Created At

28 Dec 2024