Understanding abdominal compartment syndrome

Waele, Jan J. De; Laet, I. De; Malbrain, Manu L N G

doi:10.1007/s00134-015-4089-2

Cited by 24 publications

(16 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, acute liver dysfunction can occur due to liver cell damage, mesenteric ischemia can occur due to a disturbance of mucosal microperfusion, and renal dysfunction can occur as a result of renal vein compression. The normal IAP of 5–7 mm Hg can increase due to various factors, such as abdominal surgery, ileus, intra‐abdominal hemorrhage, or ascites (as occurred in the present case) …”

Section: Discussionmentioning

confidence: 51%

“…It is also known that abdominal compartment syndrome (ACS) may be caused by increased IAP due to severe ascites in emergency care and general surgery settings. Increased pressure in the abdominal cavity can lead to compromised organ perfusion, similar to the compartment syndrome in limbs, which is a potentially life‐threatening condition . However, there are only a few reports of OHSS that is complicated with ACS …”

Section: Introductionmentioning

confidence: 99%

“…Increased pressure in the abdominal cavity can lead to compromised organ perfusion, similar to the compartment syndrome in limbs, which is a potentially life-threatening condition. 7,8 However, there are only a few reports of OHSS that is complicated with ACS. 3,6,9 Here, a case is reported in which intravesical pressure measurement was useful in the management of a patient who was diagnosed with severe OHSS that was complicated with ACS.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of ovarian hyperstimulation syndrome with abdominal compartment syndrome, based on intravesical pressure measurement

Makino

Furui

Shiga

et al. 2016

Reprod Medicine & Biology

View full text Add to dashboard Cite

There are few reports on abdominal compartment syndrome that are caused by ovarian hyperstimulation syndrome (OHSS). Here, a case of a 29 year old woman is reported in which intravesical pressure measurement was useful in the management of severe OHSS that had been complicated by abdominal compartment syndrome. The patient's urinary output and general condition did not improve after the initial treatment. The woman's intra‐abdominal pressure was evaluated indirectly, based on her intravesical pressure, and was found to be significantly elevated. The patient's urinary volume increased after a 14 mm Hg decrease in the intravesical pressure was achieved by the drainage of ascitic fluid. Intravesical pressure measurement was useful in the management of the general condition of this patient with OHSS.

show abstract

Section: Discussionmentioning

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Management of ovarian hyperstimulation syndrome with abdominal compartment syndrome, based on intravesical pressure measurement

Makino

Furui

Shiga

et al. 2016

Reprod Medicine & Biology

View full text Add to dashboard Cite

show abstract

“…In this case, the patient who was finally diagnosed with acute respiratory distress syndrome had severe abdominal distention with left incarcerated inguinal hernia, small pelvic ascites, minimal pericardial effusion, and multifocal peribronchial consolidation. Although we did not measure intravesical pressure, we assume that the patient was experiencing IAH, because organ dysfunction exists at IAP levels between 12 and 20 mmHg-the range defined as IAH [29].…”

Section: Discussionmentioning

confidence: 99%

Abdominal compartment syndrome following posterior lumbar fusion in a patient with previous abdominal surgery

Kim

Park

2019

Spinal Cord Ser Cases

View full text Add to dashboard Cite

Introduction Perioperative complications associated with spinal fusion have been investigated steadily to reduce morbidity and mortality. Although there are several reports reviewing abdominal complications occurring with anterior spinal fusion, complications related to posterior spinal fusion (PSF) are rare. However, abdominal compartment syndrome (ACS) after PSF could be the most fatal and unpredictable complication in spinal surgery.Case presentation This 73-year-old man with body mass index (BMI) of 23.02, and surgical history of appendectomy 10 years prior complained of severe nausea and vomiting on the second postoperative day of L4-5 transforaminal lumbar interbody fusion (TLIF). By postoperative day 4, he presented with dyspnea and fever, and the first diagnostic impression suggested aspiration pneumonia due to vomiting. Physical examination revealed severe abdominal distention and tenderness to palpation at most of the abdomen. Computed tomography (CT) scan of abdomen and chest revealed left inguinal hernia of the small bowel with incarceration suggesting intra-abdominal hypertension (IAH), and multifocal peri-bronchial consolidation in both lungs, respectively. His respiratory symptoms progressed to respiratory failure, and he was finally mechanically ventilated in conjunction with antibiotics. After 2 weeks of intensive care, the patient's symptom had improved, and finally he was transferred to a nursing facility. Discussion IAH and ACS rarely occur as abdominal complications of PSF. We suggest several risk factors including body mass index, abdominal surgical history, and long segment fusion for development of abdominal complications.

show abstract

“…Kidney injury is reported not only as a risk factor but also as a consequence of IAH, due to hypoxaemia, reduced cardiac output and increased outflow pressure, with possible electrolytic concentration changes, which are dangerous for cardiac electrical physiology [70]. Monitoring intra-vesical pressure as a surrogate of intra-abdominal pressure in patients at risk, and performing de-compressive laparotomy in presence of high intra-abdominal pressure, is an effective way to prevent subsequent life-threatening complications [71].…”

Section: Abdominal Compartmental Syndromementioning

confidence: 99%

Cardiac arrest among patients with infections: causes, clinical practice and research implications

Leoni

Rello

2017

Clinical Microbiology and Infection

View full text Add to dashboard Cite

The incidence of sepsis is increasing, and the condition is now the leading cause of death in general intensive care units. Our review failed to identify studies of the causes of cardiac arrest among infected patients, even though non-cardiac causes represent 15% of out-of-hospital cardiac arrests and though one-third of events have positive blood cultures. Sudden cardiac arrest is the result of local damage to the heart and of the impact of systemic and pulmonary conditions on cardiac performance, and its danger is underestimated. Necropsy findings in sudden death often identify myocarditis as an unexpected cause. The role of hypoxaemia, severe pulmonary thromboembolism with subsequent pulseless cardiac activity, alterations of electrolytes and hydrogen concentrations, distort fluid distribution with reduced pre-load, direct myocyte damage and adverse cardiac effects related to antibiotic use need to be defined. Many cardiac arrests might be preventable. Because cardiopulmonary resuscitation is challenging and usually unsuccessful in patients with sepsis, research is needed to help predict which patients are at risk. Only half of pneumonia patients with cardiac arrest in the ward receive prior ECG monitoring. Telemedicine and non-invasive monitoring in the ward, avoidance of antibiotics associated with prolonged QT syndrome, and adequate haemodynamic resuscitation might be important in preventing in-hospital arrests among patients with infections.

show abstract

Understanding abdominal compartment syndrome

Cited by 24 publications

References 14 publications

Management of ovarian hyperstimulation syndrome with abdominal compartment syndrome, based on intravesical pressure measurement

Management of ovarian hyperstimulation syndrome with abdominal compartment syndrome, based on intravesical pressure measurement

Abdominal compartment syndrome following posterior lumbar fusion in a patient with previous abdominal surgery

Cardiac arrest among patients with infections: causes, clinical practice and research implications

Contact Info

Product

Resources

About