Common causes of pancreatitis are usually linked to alcoholism and biliary obstruction by gallstones, less common causes would be idiopathic causes such as endoscopic procedures, certain drugs, tumors or trauma. The search strategy I used for this assignment included electronic databases such as Cinhal, Medline, Cochrane library and Google Scholar for relevant literature in the Past 20 years. The following phrases acute pancreatitis, severe acute pancreatitis, critical care management, necrotic pancreas and pancreatitis management, analgesia,...
Common causes of pancreatitis are usually linked to alcoholism and biliary obstruction by gallstones, less common causes would be idiopathic causes such as endoscopic procedures, certain drugs, tumors or trauma. The search strategy I used for this assignment included electronic databases such as Cinhal, Medline, Cochrane library and Google Scholar for relevant literature in the Past 20 years. The following phrases acute pancreatitis, severe acute pancreatitis, critical care management, necrotic pancreas and pancreatitis management, analgesia, opioids and parental nutrition and enteral nutrition. There were no restrictions for language. The diagnosis of Acute Pancreatitis can be made by using two out of the three following criteria; Characteristic of severe epigastric pain which can radiate to the back, a significant increase in serum amylase levels above baseline, and characteristic findings in abdominal imaging such as an ultrasound scan or computerized tomography scan, CT scan. In the 20th century, early management of acute pancreatitis often included surgical intervention, despite large mortality rates. Over the past two decades, the treatment has shifted predominantly towards non-surgical management. The present evidence based reviews focus on early management analgesia, fluid resuscitation, antibiotics, nutrition, and endoscopic retrograde cholangiopancreatography.
