Document Detail


System-structured management of acutely ill surgical patients.
MedLine Citation:
PMID:  944028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The management of surgical patients requiring intensive care is complicated by abnormalities in multiple body systems. An effective method of organizing data collection and treatment is essential. The widely applied "problem-oriented" approach is not entirely satisfactory in the context of surgical intensive care. An alternative method is presented in which management is structured by body systems. The function of each system is analyzed and a plan for each is defined. Data display is arranged by systems rather than problems and is compatible with modern computer technology. A surgical patient under treatment for pancreatitis is presented to illustrate this approach. Experience with 220 patients on a residency teaching service supports the impression that system-structured management is an effective method of managing the course of an acutely ill patient and should be widely applicable to such patients in any general surgical environment.
Authors:
N M Katz; L W Ottinger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  111     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1976 Mar 
Date Detail:
Created Date:  1976-05-25     Completed Date:  1976-05-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  235-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Critical Care / methods*
Data Display
Humans
Male
Medical Records
Middle Aged
Pancreatitis / surgery
Postoperative Care / methods*
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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