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1、CHAPTER24BEDSIDESURGICALPROCEDURESOliverL.Gunter,JoseJ.Diaz,andAddisonK.Mayprocedures,diversepopulations,andvariableindicationsforrationaleforbedsidesurgicalprocedurestheseprocedures.Forthemostcommonprocedures,sufficienttakingtheoperatingroomtotheintensivecareunitdatasupportsafetyandcost-eff
2、ectiveness.Earlyreportsofcom-safetypracticesbinedanalysesofcommonbedsideprocedures,includingpercu-selectionofpatientstaneousdilationaltracheostomy(PDT),percutaneousendoscopicbedsideproceduresgastrostomy(PEG)placement,inferiorvenacava(IVC)filterplacement,andlaparotomieshavedemonstratedresults
3、withsimilarcomplicationratesasthoseperformedintheOR,with3-5asignificantcostreduction.Also,otherreportsexaminingAnumberoffactorshavecombinedtoincreasethefrequencyPDT,PEG,andbedsidelaparotomyindividuallyhavealsoandappropriatenessofoperativeproceduresperformedattheshowntheseprocedurestobesafera
4、ndmorecost-effectivethan1,2,6-9bedsideintheintensivecareunit(ICU)forcriticallyillsurgicalthoseperformedintheOR.Bedsideproceduresavoidthepatients.Theseincludethefollowing:increasingseverityofriskanddifficultiesintroducedbytherequiredtransportoftheillnessincriticallyillsurgicalpatients;accepta
5、nceofstagedandpatientforproceduresperformedintheOR.Althoughprogressdamagecontrolmanagementstrategiesforsevereabdominal,hasbeenmadeinregardtothesafetransportofcriticallyill,10softtissue,andorthopedicpathology;advancesinendoscopichigh-riskpatients,seriousadverseeventsanddeathcanoccur.andpercut
6、aneoustechniques;increasingcompetitionforoperat-Asmallgroupofpatientsaresimplynottransportablebecauseingroom(OR)space;difficultyoftransportingseverelycriticallyoftheseverityofpulmonarydysfunctionortherapiditywithillpatients;andresourcecostofrepetitiveoperativeprocedures.whichtheunderlyingpro
7、cessmustbeaddressed.Inthispopula-Forabdominalprocedures,inparticular,theintroductionofthetion,rapidlyperformedbedsideprocedurescanbelifesaving.openabdominalapproachforthemanagementofabdominalAlthoughbedsideoperativeprocedurescanbeperformedcatastrop
