Treatment of severe acute pancreatitis and its complications

Table 2 Principles of intensive monitoring and systemic support

Parameters
Intensive invasive monitoring of vital constants
Analgesics (consider epidural analgesia if necessary)
Fluid resuscitation with monitoring of central venous pressure
Electrolyte solutions
Plasma expanders
Humidified oxygen administration
Catecholamines (dopamine, dobutamine)
Early nutritional support
Early treatment of systemic complications
Mechanical ventilation with positive end-expiratory pressure
Catecholamines (epinephrine)
Hemofiltration, dialysis
Insulin and calcium substitution