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Abdominal compartment syndrome

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7 papers 25 to 100 followers
By Faye Kehler Family Physician and GP Anesthetist since 1987 interested in all aspects of Medicine
Manu L N G Malbrain, Bart L De Keulenaer, Jun Oda, Inneke De Laet, Jan J De Waele, Derek J Roberts, Andrew W Kirkpatrick, Edward Kimball, Rao Ivatury
Intra-abdominal hypertension (IAH) is an important contributor to early organ dysfunction in trauma and sepsis. However, relatively little is known about the impact of intra-abdominal pressure (IAP) in general internal medicine, pregnant patients, and those with obesity or burns. The aim of this paper is to review the pathophysiologic implications and treatment options for IAH in these specific situations. A MEDLINE and PubMed search was performed and the resulting body-of-evidence included in the current review on the basis of relevance and scientific merit...
2015: Anaesthesiology Intensive Therapy
Steven G Strang, Diederik L Van Imhoff, Esther M M Van Lieshout, Scott K D'Amours, Oscar J F Van Waes
BACKGROUND: Abdominal Compartment Syndrome (ACS) is an uncommon but deleterious complication after trauma laparotomy. Early recognition of patients at risk of developing ACS is crucial for their outcome. The aim of this study was to compare the characteristics of patients who developed high-grade intra-abdominal hypertension (IAH) (i.e., grade III or IV; intra-abdominal pressure, IAP >20 mm Hg) following an injury-related laparotomy versus those who did not (i.e., IAP ≤20 mm Hg)...
May 2015: Injury
Zsolt J Balogh, William Lumsdaine, Ernest E Moore, Frederick A Moore
Postinjury abdominal compartment syndrome (ACS) is an example of a deadly clinical occurrence that was eliminated by strategic research and focused preventions. In the 1990s, the syndrome emerged with the widespread use of damage control surgery and aggressive crystalloid-based resuscitation. Patients who previously exsanguinated on the operating table made it to intensive care units, but then developed highly lethal hyperacute respiratory, renal, and cardiac failure due to increased abdominal pressure. Among many factors, delayed haemorrhage control and preload driven excessive use of crystalloid resuscitation were identified as modifiable predictors...
October 18, 2014: Lancet
Chen Rubenstein, Gabriel Bietz, Daniel L Davenport, Michael Winkler, Eric D Endean
BACKGROUND: Abdominal compartment syndrome (ACS) is a known complication of ruptured abdominal aortic aneurysm (rAAA) repair and can occur with either endovascular (EVAR) or open repair. We hypothesize that the underlying mechanism for the development of ACS may differ for patients treated with EVAR or open operation. METHODS: All patients who presented with rAAA at a tertiary care medical center between January 2005 and December 2010 were included in the study...
March 2015: Journal of Vascular Surgery
Andrew Joseph Young, William Weber, Luke Wolfe, Rao R Ivatury, Therese Marie Duane
Bladder pressure measurements (BPMs) are considered a key component in the diagnosis of abdominal compartment syndrome (ACS). The purpose of this observational review was to determine risk factors of ACS and associated mortality with particular focus on the role of BPM. A retrospective trauma registry and chart review was performed on trauma patients from January 2003 through December 2010. Comparisons were made between patients with and without ACS. There were 3172 patients included in the study of whom 46 had ACS...
February 2013: American Surgeon
Jessalyn K Holodinsky, Derek J Roberts, Chad G Ball, Annika Reintam Blaser, Joel Starkopf, David A Zygun, Henry Thomas Stelfox, Manu L Malbrain, Roman C Jaeschke, Andrew W Kirkpatrick
INTRODUCTION: Although intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are associated with substantial morbidity and mortality among critically ill adults, it remains unknown if prevention or treatment of these conditions improves patient outcomes. We sought to identify evidence-based risk factors for IAH and ACS in order to guide identification of the source population for future IAH/ACS treatment trials and to stratify patients into risk groups based on prognosis...
October 21, 2013: Critical Care: the Official Journal of the Critical Care Forum
Andrew W Kirkpatrick, Derek J Roberts, Jan De Waele, Roman Jaeschke, Manu L N G Malbrain, Bart De Keulenaer, Juan Duchesne, Martin Bjorck, Ari Leppaniemi, Janeth C Ejike, Michael Sugrue, Michael Cheatham, Rao Ivatury, Chad G Ball, Annika Reintam Blaser, Adrian Regli, Zsolt J Balogh, Scott D'Amours, Dieter Debergh, Mark Kaplan, Edward Kimball, Claudia Olvera
PURPOSE: To update the World Society of the Abdominal Compartment Syndrome (WSACS) consensus definitions and management statements relating to intra-abdominal hypertension (IAH) and the abdominal compartment syndrome (ACS). METHODS: We conducted systematic or structured reviews to identify relevant studies relating to IAH or ACS. Updated consensus definitions and management statements were then derived using a modified Delphi method and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) guidelines, respectively...
July 2013: Intensive Care Medicine
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