Síndrome compartimental abdominal: relevância imensurável.

Síndrome compartimental abdominal: análise do conhecimento da equipe médica de um Hospital Universitário de Curitiba

“…The sensitivity of the physical examination to detect IAP elevation has been shown to be very low 9 , being the method used as a diagnostic tool by only 15.89% of those interviewed in the current study. On the other hand, oliguria, even in the presence of aggressive volume replacement, is a classic sign of ACS, described by several authors as the first clinical sign to appear with IAH 1 decompression is strongly recommended as part of the treatment to be instituted 8,10,11,13 . In the current study, a portion similar to that which correctly defined the degrees of IAH (52.6%) was able to define the correct pressure of ACS onset.…”

“…ACS is a serious complication due to the extreme and sustained increase in IAP, which is responsible for significant morbidity and mortality, leading to neurological, cardiovascular, pulmonary, renal, hepatic and gastrointestinal adverse clinical manifestations 1,3,4 . The reliable diagnosis of ACS should be performed according to the criteria recommended by the WSACS, by measuring the intravesical pressure with a scale using millimeters of mercury (mmHg) 1,4,5 . The IAP considered normal is in the range of 0mmHg to 12mmHg, but in critically ill patients, it is expected to be between 5mmHg and 7mmHg.…”

“…Intra-abdominal hypertension (IAH) is defined as a sustained or repeated IAP value ≥12mmHg, and finally, ACS is defined as a sustained or repeated IAP value ≥20mmHg, with or without perfusion pressure <60mmHg, which is associated with dysfunction or organ failure 1,2,4 .…”

“…However, less than half of them knew the technical measurement data, such as volume of fluid infused (44.73%), results that resemble those from a study carried out in Portugal 2 .Abdominal hypertension is present when the patient has a sustained IAP greater than or equal to 12mmHg. When reaching this value, it is imperative to classify IAH: Grade I: 12 to 15 mmHg; Grade II: 16 to 20 mmHg; Grade III: 21 to 25 mmHg; Grade IV: >25mmHg1,2,8,11 . In the current research, we found that 52.6% of physicians are able to classify the IAP according to the WSACS definitions.…”

Síndrome Compartimental Abdominal e Injúria Renal Aguda

“…Em 2004, foi criada a World Society of the Abdominal Compartment Syndrome (WSACS) que definiu critérios, protocolos e diretrizes para a orientação diagnóstica e o desenvolvimento de estudos comparativos na área buscando contribuir para o tratamento, o prognóstico e a sobrevida de pacientes com SCA (5,6,7). Vários métodos foram descritos para aferição da PIA.…”