Abdominal compartment syndrome
نویسنده
چکیده
The abdominal compartment syndrome (ACS) was first described in surgical patients with abdominal aortic aneurysm repair, trauma, bleeding, or infection, but in recent years it has also been described in patients with other pathologies such as burn injury and sepsis and in medical patients. This F1000 Medicine Report is intended to provide critical care physicians a clear insight into the current state of knowledge regarding intra-abdominal hypertension (IAH) and ACS, and will focus primarily on the recent literature as well as on the definitions and recommendations published by the World Society of the Abdominal Compartment Syndrome. The definitions regarding increased intra-abdominal pressure (IAP) will be listed, followed by a brief but comprehensive overview of the different mechanisms of organ dysfunction associated with IAH. The gold standard measurement technique for IAP as well as recommendations for organ function support in patients with IAH and options for medical and surgical treatment of IAH and ACS will be discussed.
منابع مشابه
Comparison of Intra-abdominal Pressure Measurement and Physical Exam for Diagnosis of Surgery Indication in Patients with Abdominal Compartment Syndrome due to Blunt Trauma
Background & Aims: Increase in abdominal pressure can lead to the so-called intra–abdominal compartment syndrome (ACS) that is often observed during the first 24 hours after sever abdominal trauma and surgery. Measurement of the intra abdominal pressure through the bladder as a non-invasive measurement can provide a quick and accurate assessment of abdominal pressure changes. This study was per...
متن کاملAbdominal Compartment Syndrome after Cesarean Section: A Case Report
Background: Abdominal compartment syndrome (ACS) after cesarean section (CS) is a rare event which is associated with an increased risk of morbidity and mortality. This complication may arise as a result of musculoskeletal trauma and fluid accumulation. The present report aimed to introduce a case of ACS after the cesarean section. Case report: We present...
متن کاملAbdominal compartment syndrome: a concise clinical review.
OBJECTIVE There has been an increased awareness of the presence and clinical importance of abdominal compartment syndrome. It is now appreciated that elevations of abdominal pressure occur in a wide variety of critically ill patients. Full-blown abdominal compartment syndrome is a clinical syndrome characterized by progressive intra-abdominal organ dysfunction resulting from elevated intra-abdo...
متن کاملAbdominal compartment syndrome in children.
Abdominal compartment syndrome is defined as sustained intra-abdominal pressure greater than 20 mm Hg (with or without abdominal perfusion pressure <60 mm Hg) associated with new organ failure or dysfunction. The syndrome is associated with 90% to 100% mortality if not recognized and treated in a timely manner. Nurses are responsible for accurately measuring intra-abdominal pressure in children...
متن کاملAbdominal Compartment Syndrome
Abdominal compartment syndrome is a potentially lethal condition caused by any event that produces intra-abdominal hypertension; the most common cause is blunt abdominal trauma. Increasing intraabdominal pressure causes progressive hypoperfusion and ischemia of the intestines and other peritoneal and retroperitoneal structures. Pathophysiological effects include release of cytokines, formation ...
متن کاملDevelopment of a Rodent Model for the Study of Abdominal Compartment Syndrome
Background: The clinical pertinence of increased abdominal pressures has gained attention with the high correlation with damage control surgery in trauma. Increasing abdominal compartmental pressures have been associated with an increased rate of multiple organ dysfunction in several studies. This led to the 2004 consensus conference of the World Society on Abdominal Compartment Syndrome (WSACS...
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