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Ileus - Coggle Diagram
Ileus
CLinical features
Abdominal distension
Constipation
N+V
Absent bowel sounds
Abdominal film showing distension
Definition
intestinal dilation due to partial/complete non mechanical obsturution affecting small/large intestine
Psudo-obsruction - paralytic ileus -non-mechanical obstruction of the colon
Acute =ogilvie syndrome
Management
Conservative
Early mobilisation
Post operative positioning
Minimise drugs
opiates
Catecholamines
Sedatives
Maintain homeostasis
Hyperglycaemia
Hypokalamemia
Chewing gum
Concept
Rule out other pathology
Resuscitation and optimisation
Specific interventions
NG decompression
Prokinetics
metocloperimide
erythrmycin
Neostigmine
Nutritional support
Low rate trophic feeding
PN after 7 days
Surgical
Rectal tube/colonoscopic decompression
Surgical decompression if evidence of abdominal compartment syndrome
Risk factors
Operation
Opioid use
Intra operative blood loss
Prolonged surgical time
Intestinal resection
ICU related
Electrolyte imbalance
Mechnical ventilation
High ICP
Sedation/ paralysis
Volume overload
Hypopurfusion