title: A case study in intra-abdominal sepsis.
abstract: Intra-abdominal infections are a common problem for the general surgeon and major sources of morbidity and mortality in the intensive care unit. Some of these patients present with peritonitis that can rapidly progress to septic shock. The basic principles of care include prompt resuscitation, antibiotics, and source control. This article will use a detailed case study to outline the management of a patient with severe intra-abdominal infection from diverticulitis from initial resuscitation to reconstruction. Components of the Surviving Sepsis Campaign as they pertain to surgical patients are discussed and updated, and the concept of damage control general surgery is applied.
authors.affiliation: Division of Trauma and Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA. jpaul@mcw.edu
authors.forename: Jasmeet S
authors.initials: JS
authors.lastname: Paul
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Ridolfi
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002985:Clinical Protocols; D004238:Diverticulitis / Q000150:complications / Q000628:therapy*; D005440:Fluid Therapy; D006801:Humans; D059413:Intraabdominal Infections / Q000209:etiology / Q000628:therapy*; D007813:Laparotomy; D008991:Monitoring, Physiologic; D012772:Shock, Septic / Q000209:etiology / Q000628:therapy*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D014662:Vasoconstrictor Agents