Treating Acute Cholecystitis with a Surgeon

What is the treatment of acute cholecystitis?

When the gallbladder is inflamed and infected in acute cholecystitis we must begin a pathway of treatment to help our patient.

This pathway includes...

1. Fluid Resuscitation
2. Pain control
3. Antibiotics
4. Surgery

As surgeons evaluate the clinical status of the patient and their surgical risk and make a decision on the best treatment pathway.


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In this video I'm going to take your through each of these steps.

We're going to go through initial fluid resuscitation and pain control, specifically looking at the value of NSAIDs and why opioids may worsen symptoms.

I'm going to take you through antibiotic choice and the Tokyo 2018 guidelines which are important to understand in treating this disease.


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Sabiston's Textbook of Surgery https://citizensurgeon.co/Sabiston
Moore's Clinically Oriented Anatomy https://citizensurgeon.co/Moore
Netter's Anatomical Atlas https://citizensurgeon.co/Netter
Schwartz Principles of Surgery https://citizensurgeon.co/Schwartz
Fischer's Mastery of Surgery https://citizensurgeon.co/Mastery
Zollinger's Atlas of Surgical Operations https://citizensurgeon.co/Zollinger
Top Knife (MUST MUST HAVE) https://citizensurgeon.co/topknife


Finally I'm going to take you through the surgical options including laparoscopic cholecystectomy and cholecystostomy tube placement for critically ill patients.

There is a lot of value in this talk and I have every confidence you're going to learn something new!


Check out these AMAZING timestamps and fast forward if you need to:

Start 00:00
Why do we treat cholecystitis and differential diagnosis? 01:10
Initiating treatment with acute cholecystitis? 02:54
Antibiotics in acute cholecystitis 06:43
Surgical approach and cholecystectomy in acute cholecystitis? 10:40
Associated gallstones in acute cholecystitis? 16:20
Cholecystostomy tubes in acute cholecystitis? 19:13
Surgical risk in acute cholecystitis? 26:14


REFERENCES
UptoDate Acute Calculous Cholecystitis https://citizensurgeon.co/UptoDateAcu...
Guidelines Acute Cholecystitis https://citizensurgeon.co/GuidelinesC...
Tokyo Guidelines Acute Cholecystitis https://citizensurgeon.co/TokyoGuidel...
SAGES Safe Cholecystectomy https://citizensurgeon.co/SafeCholecy...
ACS NSQIP Calculator https://citizensurgeon.co/NSQIPCalcul...

WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!

DISCLAIMER
While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy!

Affiliate Links - There are a few links in the description that may lead to a kickback to me to help support the channel.