A necessary evil? Intra-abdominal hypertension complicating burn patient resuscitation

A necessary evil? Intra-abdominal hypertension complicating burn patient resuscitation

OBJECTIVE Severe burns are devastating injuries that result in considerable systemic inflammation and often require resuscitation with large volumes of fluid. The result of massive resuscitation is often raised intra-abdominal pressures leading to Intra-abdominal hypertension (IAH) and the secondary abdominal compartment syndrome. The objective of this study is to conduct (1) a 10 year retrospe...

Mechanical ventilation and intra-abdominal hypertension: 'Beyond Good and Evil'

Intra-abdominal hypertension is frequent in surgical and medical critically ill patients. Intra-abdominal hypertension has a serious impact on the function of respiratory as well as peripheral organs. In the presence of alveolar capillary damage, which occurs in acute respiratory distress syndrome (ARDS), intra-abdominal hypertension promotes lung injury as well as edema, impedes the pulmonary ...

A prospective, randomized evaluation of intra-abdominal pressures with crystalloid and colloid resuscitation in burn patients.

BACKGROUND The volume of resuscitation in burn patients has been shown to correlate with intra-abdominal pressure (IAP). Limiting volume may reduce consequences of IAP and abdominal compartment syndrome. Colloid resuscitation has been previously shown to limit the volume required initially after burn. METHODS Thirty-one patients were prospectively followed. Inclusion criteria were a burn of 2...

Intra-abdominal pressure, intra-abdominal hypertension, and pregnancy: a review

The last several decades have seen many advances in the recognition and prevention of the abdominal compartment syndrome (ACS) and its precursor, intra-abdominal hypertension (IAH). There has also been a relative explosion of knowledge in the critical care, trauma, and surgical populations, and the inception of a society dedicated to its understanding, the World Society of the Abdominal Compart...

FiRE: A NECESSARY EViL