143 How Well Are We Managing Acute Pancreatitis?

Abstract Aim To evaluate our practice in comparison with gold standards on the management of acute pancreatitis. Method This retrospective audit evaluated patients pancreatitis admitted to hospital between 01/04/22 and 30/06/22. The were guidelines published by World Society Emergency Surgery (2019) British Medical Journal (2018). Data collection focused prognostic scoring, IV fluid resuscitation, nutrition, monitoring patients, invasive intervention, performance cholecystectomy. sources included paper notes, imaging prescribing software. Results 44 presented A score was calculated only 4 (9.1%). 40 (90.1%) received isotonic fluids. However, input output poorly documented 17 (38.6%). 14 (31.8%) nutritional support; oral Fortisip supplements majority (11 25%). Regarding outcomes, 5 (13.6%) developed single or multi-organ dysfunction (respiratory and/or renal failure): 2 (4.5%) required admission High Dependency Unit. died. appropriately, no underwent endoscopic percutaneous drainage pancreatic collections. Where gallstones underlying aetiology (12 27.3%), 10 (22.8%) laparoscopic cholecystectomy during, within weeks of, index admission. Conclusions Our compliance variable, this could negatively impact patient care. Lack scoring balance documentation may undermine ability recognise deteriorating severe requiring escalation Departmental teaching for surgical doctors is proposed intervention.