It's 4 a.m., and you assess your patient as having an acute abdomen-probably due to a perforated viscus. Clearly, your patient needs an emergency laparotomy; what is left to decide is what efforts, and how much time, should be invested in the patient's optimization before the operation. Optimization is a double-edged sword: wasting time trying to stabilize an exsanguinating patient is an exercise in futility for the patient will die. Conversely, rushing to surgery with a hypovolemic patient suffering from intestinal obstruction is a recipe for disaster. © Springer-Verlag Berlin Heidelberg 2010.
CITATION STYLE
Rucinski, J. C. (2009). Optimizing the patient. In Schein’s Common Sense Emergency Abdominal Surgery (Third Edition) : An Unconventional Book for Trainees and Thinking Surge (pp. 57–68). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-540-74821-2_6
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