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Abdominal compartment syndrome

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By Jason Mann No BS pulmonary critical care fellow
Michael Sugrue
PURPOSE OF REVIEW: This article reviews the key principles of abdominal compartment syndrome and the open abdomen, exploring some of the unresolved issues. It reviews new concepts in care. RECENT FINDINGS: Recent use of peritoneal resuscitation, and benefits of mesh-mediated traction are discussed. Abdominal compartment syndrome remains a result of complex interaction between general haemorrhage, sepsis and fluid resuscitation. Improved resuscitation and sepsis control has decreased but not abolished the need for the open abdomen and progression for abdominal compartment syndrome...
February 2017: Current Opinion in Critical Care
Cornelia Griggs, Kathryn Butler
BACKGROUND: As strategies in acute care surgery focus on damage control to restore physiology, intensivists spanning all disciplines care for an increasing number of patients requiring massive transfusion, temporary abdominal closures, and their sequelae. OBJECTIVE: To equip the nonsurgical intensivist with evidence-based management principles for patients with an open abdomen after damage control surgery. DATA SOURCE: Search of PubMed database and manual review of bibliographies from selected articles...
October 2016: Journal of Intensive Care Medicine
D Iyer, P Rastogi, A Åneman, S D'Amours
BACKGROUND: To develop a screening tool to identify patients at risk of developing intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) within 24 h of a patient's admission to intensive care unit (ICU). METHODS: Prospective, observational study of 403 consecutively enrolled patients with an indwelling catheter, admitted to a mixed medical-surgical ICU in a tertiary referral, university hospital. Intra-abdominal pressure was measured at least twice daily and IAH and ACS defined as per consensus definitions...
November 2014: Acta Anaesthesiologica Scandinavica
M Björck, A Wanhainen
OBJECTIVES: The management of the abdominal compartment syndrome (ACS) and the open abdomen (OA) are important to improve survival after major vascular surgery, in particular ruptured abdominal aortic aneurysm (RAAA). The aim is to summarize contemporary knowledge in this field. METHODS: The consensus definitions of the World Society of the Abdominal Compartment Syndrome (WSACS) that were published in 2006 and the clinical practice guidelines published in 2007 were updated in 2013...
March 2014: European Journal of Vascular and Endovascular Surgery
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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