Table 3 |
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|
Summary of bedside diagnostic laparoscopy in the intensive care unit reviewed. |
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|
Author (year) |
ICU population studied |
Results of bedside laparoscopy |
Complications (N) |
||
|
|
|||||
|
Pathology (N) |
Total N |
Positive |
Findings (N) |
||
|
|
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|
Bender and Talamini (1992) [14] |
Severe burn (1) Thoracic surgery (1) |
2 |
1 |
Acalculous cholecystitis |
|
|
|
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|
Forde and Treat (1992) [15] |
Cardiac arrest (3) Various medical diseases (7) |
10 (9 bedside, not specified which of them) |
4 |
Peritonitis (4) |
Intraperitoneal haemorrhage (1) |
|
|
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|
Brandt and colleagues (1993) [12] |
Trauma/burns (9) Cardiac/vascular surgery (6) Acute malignancy (4) Cardiac/respiratory arrest (3) Renal failure/sepsis (1) |
25 |
12 |
Intestinal ischaemia (6) Gangrenous cholecystitis (4) Perforated caecum (l) Ruptured spleen (1) |
|
|
|
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|
Brandt and colleagues (1994) [16] |
Trauma |
9 (1 bedside) |
1 |
Gangrenous cholecystitis |
|
|
|
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|
Almeida and colleagues (1995) [17] |
Blunt trauma (8) Leg gunshot wound (1) Cardiac surgery (1) |
10 (6 bedside) |
3 |
Gangrenous cholecystitis (4) Distended gallbladder (1) |
|
|
|
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|
Orlando and colleagues (1997) [18] |
Cardiac surgery (19) Vascular surgery (2) General surgery (5) |
26 |
16 |
Acute cholecystitis (10) Mesenteric ischaemia (5) Perforation (1) |
|
|
|
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|
Walsh and colleagues (1998) [19] |
Cardiac failure (4) Sepsis (3) Pneumonia (2) Cardiac surgery (1) Pulmonary failure (2) |
12 |
5 |
Intestinal ischaemia (2) Thickened terminal ileum (1) Sigmoid diverticulitis (1) Peritonitis (1) |
Transient bradycardia during procedure (1) |
|
|
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|
Kelly and colleagues (2000) [20] |
Sepsis of unknown origin (14) |
14 |
5 |
Intestinal ischaemia (3) Cholecystitis (2) |
|
|
|
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|
Rosin and colleagues (2001) [21] |
Sepsis after cardiac surgery (1) Sepsis after neurosurgery (1) Cardio-respiratory failure (1) Malignancy (1) |
4 |
2 |
Viscus perforation (1) Abdominal abscess (1) |
|
|
|
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|
Pecoraro and colleagues (2001) [8] |
General surgery (4) Sepsis (3) Malignancy (2) Other (2) |
11 |
8 |
Fibrinous or purulent exudates (3) Tumour (2) Intestinal ischaemia (1) Fistula (1) Cirrhosis (1) |
|
|
|
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|
Gagne and colleagues (2002) [9] |
Medical Surgical Trauma (numbers not specified) |
19 |
6 |
Extensive mesenteric ischemia (3) Intestinal ischaemia (1) Gangrenous cholecystitis (1) Suggestive bowel ischaemia (1) |
Gallbladder perforation (1) Ascitic leak from trocar site (1) |
|
|
|||||
|
Hackert and colleagues (2003) [5] |
Major cardiac surgery with extracorporeal circulation (17) |
17 |
10 |
Colonic ischaemia (6) Acute cholecystitis (3) Fibrinous peritonitis (1) |
Colonic perforation (1) |
|
|
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|
Jaramillo and colleagues (2006) [22] |
Sepsis of unknown origin (13) |
13 |
9 |
Intestinal ischaemia or necrosis (6) Acalculous cholecystitis (2) Colonic perforation (1) |
|
|
|
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|
Peris et al. Critical Care 2009 13:R25 doi:10.1186/cc7730 |
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