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[Respiratory insufficiency in acute pancreatitis]
L Marruecos Sant1, A Net Castel, X Alegret Bardi
1Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Barcelona.
Medicina Clinica
|May 9, 1992
Summary
Acute respiratory failure (ARF) is a common complication of acute pancreatitis (AP). ARF severity correlates with AP severity and CT scan findings, aiding in patient management.
Area of Science:
- Pulmonology
- Gastroenterology
- Radiology
Context:
- Acute pancreatitis (AP) can lead to systemic complications, including acute respiratory failure (ARF).
- Assessing AP severity typically involves the Ranson index and abdominal CT scans.
- Understanding the relationship between AP severity markers and ARF is crucial for clinical decision-making.
Purpose:
- To investigate the correlation between the severity of acute pancreatitis (AP), as indicated by the Ranson index and abdominal CT findings, and the occurrence and severity of acute respiratory failure (ARF).
Summary:
- This study reviewed 295 cases of AP, assessing severity with Ranson criteria and abdominal CT in a subset. ARF, defined by low PaO2, was the most frequent complication (28%), with severe ARF in 8%.
- Pleural effusion was the most common radiologic finding. A correlation was established between ARF and AP severity, as well as CT scan alterations.
- The respiratory index (RI) was used to classify ARF severity, proving useful in management.
Impact:
- Establishes acute respiratory failure as the most frequent complication of acute pancreatitis.
- Demonstrates a significant correlation between ARF and the severity of acute pancreatitis and associated CT findings.
- Highlights the utility of the respiratory index in classifying ARF severity, aiding in clinical assessment and treatment strategies.