What is the initial medical care for acute cholangitis in the ICU?

Updated: Dec 29, 2017
  • Author: Timothy M Scott, DO; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Admission to the intensive care unit (ICU) for ill patients is appropriate. Continue intravenous antibiotics; monitor the blood cultures so that the antibiotics can be narrowed to the appropriate pathogen, and provide supportive measures including administration of intravenous fluids. [17] Administer intravenous antibiotics 12-24 hours prior to nonemergent endoscopic retrograde cholangiopancreatography (ERCP). Refer worsening patients to emergent ERCP for sphincterotomy or percutaneous drainage.


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