Management of multiple enterocutaneous fistulas.
Heart Lung
; 18(4): 386-90, 1989 Jul.
Article
em En
| MEDLINE
| ID: mdl-2663786
ABSTRACT
Enterocutaneous fistulas present a difficult management problem in the intensive care unit. Although some patients require surgical intervention for fistula control, key elements to good clinical management include mechanical control and vigorous nutritional support. This approach includes eradication of malnutrition, support of the hypercatabolic state, and maintenance or replacement of protein loss from fistula drainage. Good mechanical control involves integument protection and a mechanism of drainage collection. The patient we describe taxed the ingenuity and creativity of all those concerned with his care. Modification of a previously described technique to protect surrounding skin and collect fistula output served as a simple and inexpensive approach to eliminate infection potential, improve the patient's comfort, and decrease the nursing time that would have been required for frequent, complex dressing changes.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Fístula Intestinal
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Heart Lung
Ano de publicação:
1989
Tipo de documento:
Article