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Critical Care
Published in: Critical Care 1/2000

01-02-2000 | Review

Abdominal compartment syndrome

Authors: Jeffrey Bailey, Marc J Shapiro

Published in: Critical Care | Issue 1/2000

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Abstract

Intra-abdominal hypertension (IAH) associated with organ dysfunction defines the abdominal compartment syndrome (ACS). Elevated intra-abdominal pressure (IAP) adversely impacts pulmonary, cardiovascular, renal, splanchnic, musculoskeletal/integumentary, and central nervous system physiology. The combination of IAH and disordered physiology results in a clinical syndrome with significant morbidity and mortality. The onset of the ACS requires prompt recognition and appropriately timed and staged intervention in order to optimize outcome. The history, pathophysiology, clinical presentation, and management of this disorder is outlined.
Literature
1.
2.
3.
Coombs HC: The mechanism of regulation of intra-abdominal pressure. Am J Physiol. 1920, 61: 159-163.
4.
Baggot MG: Abdominal blow-out: a concept. Curr Res Anesthesia Analg. 1951, 30: 295-299.
5.
Ogilvie WH: The late complications of abdominal war wounds. Lancet. 1940, 2: 253-256. 10.1016/S0140-6736(01)08769-4.CrossRef
6.
7.
Lenz RJ, Thomas TA, Wilkins DG: Cardiovascular changes during laparoscopy. Anaesthesia. 1976, 31: 4-12.PubMedCrossRef
8.
Saggi BH, Sugerman HJ, Ivatury RR, Bloomfield GL: Abdominal compartment syndrome. J Trauma. 1998, 45: 597-609.PubMedCrossRef
9.
10.
Meldrum DR, Moore FA, Moore EE, et al: Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg. 1997, 174: 667-673. 10.1016/S0002-9610(97)00201-8.PubMedCrossRef
11.
Shafik A, El-Sharkawy A, Sharaf WM: Direct measurement of intra-abdominal pressure in various conditions. Eur J Surg. 1997, 163: 883-887.PubMed
12.
Collee GG, Lomax DM, Ferguson C, et al: Bedside measurement if intra-abdominal pressure via an indwelling naso-gastric tube: clinical validation of the technique. Intensive Care Med. 1993, 19: 478-483.PubMedCrossRef
13.
Ivatury RR, Diebel L, Porter JM, Simon RJ: Intra-abdominal hypertension and the abdominal compartment syndrome. Surg Clin North Am. 1997, 77: 783-801.PubMedCrossRef
14.
15.
Burch JM, Moore EE, Moore FA, Franciose R: The abdominal compartment syndrome. Surg Clin North Am. 1996, 76: 833-841.PubMedCrossRef
16.
Ridings PC, Bloomfield GL, Blocher CR, et al: Cardiopulmonary effects of raised intra-abdominal pressure before and after intravascular volume expansion. J Trauma. 1995, 39: 1071-1075.PubMedCrossRef
17.
Barnes GE, Laine GA, Giam PY, et al: Cardiovascular responses to elevation of intra-abdominal hydrostatic pressure. Am J Physiol. 1985, 248: R208-R213.PubMed
18.
19.
Durham R, Neunaber K, Vogler G, Shapiro M, Mazuski J: Right ventricular end-diastolic volume as a measure of preload. J Trauma. 1995, 39: 218-223.PubMedCrossRef
20.
21.
Diebel LN, Dulchavsky SA, Wilson RF: Effect of increased intra-abdominal pressure on mesenteric arterial and intestinal mucosal blood flow. J Trauma. 1992, 33: 45-49.PubMedCrossRef
22.
Bongard F, Pianim N, Dubecz S, Klein SR: Adverse consequences of increased intra-abdominal pressure on bowel tissue oxygen. J Trauma . 1995, 39: 519-525.PubMedCrossRef
23.
Friedlander MH, Simon RJ, Ivatury RR, et al: Effect of hemorrhage on superior mesenteric artery flow during increased intra-abdominal pressures. J Trauma. 1998, 45: 433-439.PubMedCrossRef
24.
Diebel LN, Dulchavsky SA, Brown WJ: Splanchnic ischemia and bacterial translocation in the abdominal compartment syndrome. J Trauma. 1997, 43: 852-855.PubMedCrossRef
25.
Diebel LN, Wilson RF, Dulchavsky SA, et al: Effect of increased intra-abdominal pressure on hepatic arterial, portal venous, and hepatic microcirculatory blood flow. J Trauma. 1992, 33: 279-282.PubMedCrossRef
26.
Diebel LN, Saxe J, Dulchavsky S: Effect of intra-abdominal pressure on abdominal wall blood flow. Am Surg. 1992, 58: 573-576.PubMed
27.
Sugerman H, Windsor A, Bessos M, Wolfe L: Intra-abdominal pressure, sagittal abdominal diameter and obesity comorbidity. J Intensive Med. 1997, 241: 71-79. 10.1046/j.1365-2796.1997.89104000.x.
28.
Ivatury RR, Porter JM, Simon RJ, et al: Intra-abdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence, and clinical relevance of gastric mucosal pH and abdominal compartment syndrome. J Trauma. 1998, 44: 1016-1021.PubMedCrossRef
29.
Williams M, Simms HH: Abdominal compartment syndrome: case reports and implications for management of critically ill patients. Am Surg. 1997, 63: 555-558.PubMed
30.
31.
Mayberry JC, Mullins RJ, Crass RA, Trunkey DD: Prevention of abdominal compartment syndrome by absorbable mesh prosthesis closure. Arch Surg. 1997, 132: 957-961.PubMedCrossRef
32.
Sherck J, Seiver A, Shatney C, Oakes D, Cobb L: Covering the open abdomen: a better technique. Am Surg. 1998, 64: 854-857.PubMed
33.
Porter JM, Ivatury RR: In search of optimal end points of trauma patients: a review. J Trauma. 1998, 44: 908-914.PubMedCrossRef
34.
Bloomfield GL, Dalton JM, Sugerman HJ, et al: Treatment of increasing intracranial pressure secondary to the acute abdominal compartment syndrome in a patient with combined abdominal and head trauma. J Trauma. 1995, 39: 1168-1170.PubMedCrossRef
Metadata
Title
Abdominal compartment syndrome
Authors
Jeffrey Bailey
Marc J Shapiro
Publication date
01-02-2000
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2000
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc646

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