Abdominal Compartment Syndrome

Stassen, Nicole A.; Lukan, James K.; Dixon, M. S.; Carrillo, Eddy H.

doi:10.1177/145749690209100116

Cited by 14 publications

(3 citation statements)

References 14 publications

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“…Increased IAP has an impact on several organs and systems. The respiratory function is influenced by the elevation and compression of the diaphragm, causing decreased tidal volume, atelectasis, hypoxemia, and hypercarbia [ 2 , 3 ]. Due to compression on the mesenteric vessels, portal vein, and inferior vena cava, increased IAP leads to decreased venous return to the right heart and consequently decreased cardiac output.…”

Section: Introductionmentioning

confidence: 99%

Avoiding High Pressure Abdominal Closure of Congenital Abdominal Wall Defects—One Step Further to Improve Outcomes

Mocanu,

Cîrstoveanu,

Bizubac

et al. 2023

Children

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The main goal of surgical treatment for gastroschisis and omphalocele is the reduction of viscera in the abdominal cavity and closure of the abdomen, but the challenge is to succeed without the detrimental effects of increased intraabdominal pressure. In this regard, we performed a retrospective study for all patients admitted for gastroschisis and omphalocele to the Neonatal Intensive Care Unit of ‘Marie Sklodowska Curie’ Emergency Clinical Hospital for Children, from January 2011 until June 2021. Our aim was to highlight the presence of postoperative abdominal compartment syndrome. We observed that six out of forty-seven patients developed clinical signs of abdominal compartment syndrome, five associated with primary closure and one with staged closure with a polyvinyl chloride patch. Following the results, we decided to implement the trans-bladder measurement of intraabdominal pressure to avoid closing the abdomen at pressures higher than 10 mmHg in order to prevent the development of abdominal compartment syndrome. We consider that there is still place for the improvement of congenital abdominal wall defects management and that the measurement of intraabdominal pressure might help us reach our goal.

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Section: Introductionmentioning

confidence: 99%

Avoiding High Pressure Abdominal Closure of Congenital Abdominal Wall Defects—One Step Further to Improve Outcomes

Mocanu,

Cîrstoveanu,

Bizubac

et al. 2023

Children

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“…При таком расположении пациента предотвращается компрессия брюш-ной полости. В то же время известно, что длительное нахождение пациента в положении на животе может сопро-вождаться повышением внутрибрюш-ного давления с увеличением крово-потери и даже имитировать abdominal compartment syndrome [25]. Хирур-гические манипуляции на передних отделах грудного отдела позвоночни-ка выполняются из трансторакального доступа.…”

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Anesthetic Management for Two-Stage Combined Surgery for Post-Traumatic Deformity of the Spine

Lukjanov¹,

Lebedeva²,

Golikov³

et al. 2015

Hir. pozvonoč.

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Results. An open pneumothorax, mechanical compression of the lungs, and hyperextension of the spine are the main factors affecting the degree of deviations in hemodynamics and gas exchange, which require adjustment of mechanical ventilation and infusion rate parameters. The most statistically significant changes in analyzed indicators were registered in patients in Group I. Conclusion.The anterior-posterior sequence of fusion procedure is more physiological treatment of patients comparing to the posterior-anterior one.Key Words: spinal injury, multistage operations, hemodynamics, gas composition of the blood, low flow anesthesia, sevoflurane.

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“…Однако не меньшее значение имеет то обстоятельство, что операции по поводу сколиоза выполняются в нефизиологичном положении больного на операционном столе -лежа на животе лицом вниз (prone position) в условиях сдавления передней брюшной стенки, что закономерно приводит к повышению внутрибрюшного давления. Так как брюшная полость представляет собой пространство, ограниченное мышцами, позвоночником, диафрагмой и костями таза, то рост давления в замкнутом пространстве в соответствии с законом Паскаля [14,29] оказывает равномерное действие во всех направлениях, из которых наиболее существенным признается давление на заднюю стенку брюшной полости, где расположена нижняя полая вена. Это приводит к нарушению кровотока по нижней полой вене, следствием чего становится повышенная интраоперационная кровоточивость тканей, достигающая максимума на этапах скелетирования задних структур позвонков и других манипуляциях на позвоночнике.…”

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Профилактика Повышения Внутрибрюшного Давления Как Значимый Фактор Уменьшения Интраоперационной Кровопотери В Хирургии Сколиоза

Лебедева¹,

Иванова²,

Лукьянов³

et al. 2014

Хирургия позвоночника 1-2014

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Quantitative estimation of intraoperative blood loss volume in surgical correction of idiopathic scoliosis with patient's positioning ensuring complete decompression of the anterior abdominal wall. Material and Methods. Results of surgical correction of idiopathic scoliosis in 122 patients who underwent surgery involving skeletal traction and posterior correction with hybrid instrumentation in the prone position were analyzed. Posterior correction in 60 patients from Group I was performed on a standard orthopedic table, and in 62 patients from Group II-on a modular operating table for spinal surgery providing complete decompression of the anterior abdominal wall. Results. The studied parameters in groups were as follows: deformity magnitude-54.7° ± 16,3° in Group I vs 61.5° ± 19.4° in Group II, the length of the posterior spinal fusion-12.5 ± 1.1 vs 12.8 ± 0.9 segments, the number of levels in transpedicular fixation-4.1 ± 1.1 vs 4.2 ± 1.8, and surgery duration-169.4 ± 30.3 min vs 159.0 ± 31.6 min, respectively. The volume of intraoperative blood loss showed significant difference between groups: 1024.9 ± 409.2 ml (28.6 ± 12.3 % of circulating blood) in Group I, and 595.2 ± 208.6 ml (16.7 ± 6.2 % of circulating blood) in Group II. Conclusion. Complete decompression of the anterior abdominal wall during surgical correction of idiopathic scoliosis allowed reducing intraoperative blood loss by 41.6 % and ensuring the absence of indications for blood transfusion in 48.4 % of operated patients.

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Abdominal Compartment Syndrome

Cited by 14 publications

References 14 publications

Avoiding High Pressure Abdominal Closure of Congenital Abdominal Wall Defects—One Step Further to Improve Outcomes

Avoiding High Pressure Abdominal Closure of Congenital Abdominal Wall Defects—One Step Further to Improve Outcomes

Anesthetic Management for Two-Stage Combined Surgery for Post-Traumatic Deformity of the Spine

Профилактика Повышения Внутрибрюшного Давления Как Значимый Фактор Уменьшения Интраоперационной Кровопотери В Хирургии Сколиоза

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