J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text HTML] [Full Text PDF] （in Japanese / 2627KB） [Members Only]

J.Jpn. Surg. Soc.. 125(3): 229-236, 2024

Feature topic

INTENSIVE CARE IN ACUTE CARE SURGERY

1) Department of Emergency and Critical Care Medicine, Eastern Chiba Medical Center, Togane, Japan
2) Department of General Medical Science, Chiba University Graduate School of Medicine, Chiba, Japan
3) Department of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
4) Department of Pediatrics, Chiba Kailin Municipal Hospital, Chiba, Japan
5) Department of Surgery, National Hospital Organization Chiba Medical Center, Chiba, Japan
6) Department of Acute Care Surgery, Shimane University, Izumo, Japan

Tomoaki Hashida1)2)3), Kazuhisa Koizumi4), Kouichiro Ogura5), Rui Kawaguchi3)6), Taka-aki Nakada3)

Acute care surgery is a concept recently proposed by the American Association for the Surgery of Trauma and is a new surgical specialty that covers trauma surgery, emergency surgery, intensive care, and surgical rescue. It covers not only trauma but also emergency diseases that require surgical treatment, and the pathophysiology is diverse and often serious. Therefore, the acute care surgeon is expected to provide seamless care from the initial treatment to emergency surgery and then to intensive care. Intensive care is becoming more important and requires the use of artificial organ support, systemic management, early recovery of physiological function, and proactive intervention in response to changes in condition. Acute care surgeons who play such multidisciplinary roles are expected to become increasingly important in Japan in the future.

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