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Paralytic ileus in the orthopaedic patient.

Abstract

Paralytic ileus is marked by the cessation of bowel motility. This condition is a major clinical concern that may lead to severe patient morbidity in orthopaedic surgery and trauma patients. Ileus most commonly occurs following spinal surgery, traumatic injury, or lower extremity joint reconstruction, but it may also occur following minor orthopaedic procedures. Possible consequences of ileus include abdominal pain, malnutrition, prolonged hospital stay, hospital readmission, bowel perforation, and death. Therapies used in the treatment of ileus include minimization of opioids, early patient mobilization, pharmacologic intervention, and multidisciplinary care. Orthopaedic surgeons should be aware of the clinical signs and symptoms of paralytic ileus and should understand treatment principles of this relatively common adverse event.

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    MeSH

    Diagnostic Imaging
    Humans
    Intestinal Pseudo-Obstruction
    Orthopedic Procedures
    Risk Factors

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    25917235

    Citation

    Daniels, Alan H., et al. "Paralytic Ileus in the Orthopaedic Patient." The Journal of the American Academy of Orthopaedic Surgeons, vol. 23, no. 6, 2015, pp. 365-72.
    Daniels AH, Ritterman SA, Rubin LE. Paralytic ileus in the orthopaedic patient. J Am Acad Orthop Surg. 2015;23(6):365-72.
    Daniels, A. H., Ritterman, S. A., & Rubin, L. E. (2015). Paralytic ileus in the orthopaedic patient. The Journal of the American Academy of Orthopaedic Surgeons, 23(6), pp. 365-72. doi:10.5435/JAAOS-D-14-00162.
    Daniels AH, Ritterman SA, Rubin LE. Paralytic Ileus in the Orthopaedic Patient. J Am Acad Orthop Surg. 2015;23(6):365-72. PubMed PMID: 25917235.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Paralytic ileus in the orthopaedic patient. AU - Daniels,Alan H, AU - Ritterman,Scott A, AU - Rubin,Lee E, Y1 - 2015/04/26/ PY - 2015/4/29/entrez PY - 2015/4/29/pubmed PY - 2015/8/22/medline SP - 365 EP - 72 JF - The Journal of the American Academy of Orthopaedic Surgeons JO - J Am Acad Orthop Surg VL - 23 IS - 6 N2 - Paralytic ileus is marked by the cessation of bowel motility. This condition is a major clinical concern that may lead to severe patient morbidity in orthopaedic surgery and trauma patients. Ileus most commonly occurs following spinal surgery, traumatic injury, or lower extremity joint reconstruction, but it may also occur following minor orthopaedic procedures. Possible consequences of ileus include abdominal pain, malnutrition, prolonged hospital stay, hospital readmission, bowel perforation, and death. Therapies used in the treatment of ileus include minimization of opioids, early patient mobilization, pharmacologic intervention, and multidisciplinary care. Orthopaedic surgeons should be aware of the clinical signs and symptoms of paralytic ileus and should understand treatment principles of this relatively common adverse event. SN - 1067-151X UR - https://www.unboundmedicine.com/medline/citation/25917235/Paralytic_ileus_in_the_orthopaedic_patient_ L2 - http://Insights.ovid.com/pubmed?pmid=25917235 DB - PRIME DP - Unbound Medicine ER -