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Virtual Patient Case: Acute Care

Key Case Concepts
  1. Pancreatitis can result in clinically significant intra-abdominal hypertension
  2. Intra-abdominal hypertension can negatively impact a variety of organ systems including lungs and kidneys
  3. There is a staged approach to manage increased abdominal pressure including medical and surgical interventions
  4. Although there are many strategies to manage the open abdomen they should meet the same common clinical goals
  5. Once the intra-abdominal hypertension has resolved the goal should be primary fascial closure

Accreditation Statement

This event is an Accredited Self-Assessment Activity (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by Canadian Association of General Surgeons.

Credit Info
0.5 Learning Hours
1.5 Section 3 MOC Credits

Learning Objectives

By the end of this case, you should be able to:

  • Explain the impact that intra-abdominal hypertension has in the setting of necrotizing pancreatitis
  • Measure intra-abdominal hypertension
  • Describe the treatment options for intra-abdominal hypertension
  • Describe role of decompressive laparostomy in the setting of abdominal compartment syndrome
  • List the goals of temporary abdominal closure
  • Review options to facilitate primary abdominal closure

Case Author

Sam Minor MD, FRCSC, FACS

On behalf of the Canadian Collaborative on Urgent Care Surgery (CANUCS)


Case Audience

  • General Surgeons
  • General Surgery Residents and Fellows

Case Reviewer

  • CANUCS Group

Virtual Patient Case Developers

  • David Fleiszer MDCM
  • Nancy Posel PhD
Disclaimer
The user acknowledges that the workshops, handouts, and related course materials contained therein are intended for educational purposes only, and should not be considered to be legal advice or a substitute for legal or clinical consultation. These presentations address issues that are multi-faceted, and the user should not assume that the courses discuss every law, regulation, or ethical code that may be relevant to the subject matter. Legal and ethical standards are subject to change and it is always prudent to check to see whether a particular law, regulation, or ethical standard may have changed.

This course is freely available to CAGS members. Please create an account and enter your code. If you do not have an access code, please contact: learn@cags-accg.ca.
Refunds/Cancellations: CAGS does not offer refunds for On-Demand Library purchases.