Details

Autor(en) / Beteiligte

• Ellison, Edwin Christopher, M.D

Titel

Evidence-based management of hemorrhage after pancreaticoduodenectomy

Ist Teil von

• The American journal of surgery, 2007-07, Vol.194 (1), p.10-12

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2007

Quelle

MEDLINE

Beschreibungen/Notizen

• Other definitions have been employed: (1) Tien et al [2] defined massive postoperative bleeding as the need for relaparotomy or transcatheter embolization to stop the bleeding; (2) Choi et al [3] defined delayed hemorrhage as bleeding from the surgical site requiring greater than 2 units of packed red cells, surgical intensive care unit supervision, laparotomy, or transarterial embolization 5 days or more after pancreaticoduodenectomy; (3) de Castro et al [4] defined this complication as postoperative bleeding occurring 24 hours after the index operation requiring a transfusion need of at least 4 units; and (4) Koukoutsis et al [5] defined massive hemorrhage as a drop in arterial pressure of 40 mm Hg or more and the administration of at least 2 units of blood during resuscitation. First bleeding may be gastrointestinal, also termed intraluminal or intra-abdominal.