IBCC Episode 8 - Pancreatitis

In this episode of The Internet Book of Critical Care Podcast, Josh and Adam discuss the diagnosis, disposition, and treatment of pancreatitis. They outline the diagnostic criteria, emphasizing the importance of lipase levels, clinical history, and imaging. They explore lab tests, cautioning against relying solely on amylase and advising a focus on treatable causes such as medication-induced pancreatitis, hypercalcemia, hypertriglyceridemia, and cholangitis. They discuss risk stratification for ICU admission, advocating for aggressive resuscitation similar to septic shock, early enteral nutrition, and caution against early use of carbapenems. The hosts also address potential complications like abdominal compartment syndrome and pain management strategies, including opioid-sparing agents.