American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis (original) (raw)

“…The most recent American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis emphasizes that there is no published observational study or randomized controlled trial proving that the use of severity prediction tools has any impact on clinical outcomes [25]. Previous international guidelines have highlighted the crucial role of prediction in AP in order to identify patients at risk of an adverse outcome.…”

Section: Risk Stratification In Apmentioning

“…Despite the poor level of evidence, current guidelines recommend the use of preset physiological and biochemical targets in combination with a moderate aggressive infusion rate of 5–10 mL/kg/h, mainly to adequately address the patient’s fluid needs, but minimizing the risk of fluid overload [16, 25]. Suggested targets are a heart rate < 120 bpm under adequate analgesia and a mean arterial pressure of 65–85 mm Hg with urine output of at least 0.5 mL/kg/h or a hematocrit of 35–44%.…”

Section: Early Conservative Treatment Of Apmentioning

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