Normative postpartum intraabdominal pressure: potential implications in the diagnosis of abdominal compartment syndrome

2010 ◽  
Vol 203 (2) ◽  
pp. 149.e1-149.e4 ◽  
Author(s):  
Sonya S. Abdel-Razeq ◽  
Katherine Campbell ◽  
Edmund F. Funai ◽  
Lewis J. Kaplan ◽  
Mert Ozan Bahtiyar
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Intraabdominal Pressure ◽  
Pressure Potential ◽  
Abdominal Compartment

scholarly journals Is intraabdominal pressure a predictive factor for mortality and morbidity in abdominal trauma?

2019 ◽  
Vol 2 (1) ◽  
pp. 35-40
Author(s):  
Daniel Ion ◽  
Dan Nicolae Păduraru ◽  
Florentina Mușat ◽  
Octavian Andronic ◽  
Alexandra Bolocan
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Trauma ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Management Plan ◽  
Intraabdominal Pressure ◽  
Mortality And Morbidity ◽  
Abdominal Hypertension ◽  
Abdominal Compartment

AbstractThe clinical signs and symptoms of an acute in increase intraabdominal pressure (IAP) are subtle, especially in the conditions of the polytraumatized patient. Thus, abdominal compartment syndrome (ACS) can brutally occur and can have a major impact on the body’s main organs and systems. The purpose of our research was to identify the influence of intraabdominal pressure, intra-abdominal hypertension, and abdominal compartment syndrome, in the evolution of polytraumatized patients. Our study analyzed the patients admitted in the IIIrd Department of General Surgery of University Emergency Hospital in Bucharest between 1st of January 2010 and 31st of December 2018. The value of intraabdominal pressure, on admission, correlated with the risk of IAH/ ACS in patients with abdominal trauma - being major causes of morbidity and mortality. IAP monitoring should become a mandatory part of the management plan for patients with abdominal trauma.

scholarly journals Understanding of Abdominal Compartment Syndrome among Pediatric Healthcare Providers

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
J. Chiaka Ejike ◽  
Jennifer Newcombe ◽  
Joanne Baerg ◽  
Khaled Bahjri ◽  
Mudit Mathur
Keyword(s):  
Critical Care ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Measurement Techniques ◽  
Healthcare Providers ◽  
Intraabdominal Pressure ◽  
Pediatric Nurses ◽  
Pediatric Critical Care ◽  
Pediatric Healthcare ◽  
Abdominal Compartment

Background. The sparse reporting of abdominal compartment syndrome (ACS) in the pediatric literature may reflect inadequate awareness and recognition among pediatric healthcare providers (HCP).Purpose. To assess awareness of ACS, knowledge of the definition and intraabdominal pressure (IAP) measurement techniques used among pediatric HCP.Method. A written survey distributed at two pediatric critical care conferences.Results. Forty-seven percent of 1107 questionnaires were completed. Participants included pediatric intensivists, pediatric nurses, and others. Seventy-seven percent () of participants had heard of ACS. Only 46.8% defined ACS correctly. The threshold IAP value used to define ACS was variable among participants. About one-quarter of participants (83/343), had never measured IAP.Conclusion. Twenty-three percent of HCP surveyed were unaware of ACS. Criteria used to define ACS were variable. Focused education on recognition of ACS and measuring IAP should be promoted among pediatric HCP.

scholarly journals Non-ICU-Based Staged Management of Laparotomy-Related Abdominal Compartment Syndrome in a 23-Year-Old Male

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Kofi Tawiah Mensah
Keyword(s):  
Compartment Syndrome ◽  
Organ Dysfunction ◽  
Abdominal Compartment Syndrome ◽  
Mesh Repair ◽  
Intraabdominal Pressure ◽  
Skin Closure ◽  
Midline Laparotomy ◽  
Case Presentation ◽  
Skin Healing ◽  
Abdominal Compartment

Introduction: Abdominal compartment syndrome (ACS) is a sustained intraabdominal pressure (IAP) of 20 mmHg or higher with new organ dysfunction. Decompression is required when IAP exceeds 25 mmHg even without evidence of organ dysfunction. Common abdominal surgical diseases and operations can be complicated by ACS, and clinicians should have the requisite capacity to detect and intervene early enough. Intensive care unit (ICU) care has traditionally been the mainstay of ACS management. Case Presentation: A 23-year-old male was referred with a combined mesh and Bogota bag anterior abdominal construct after a midline laparotomy 24 hours earlier, following which the abdominal wall could not be closed primarily without tension. This was the result of significant edema of the bowel and retroperitoneum. This patient, after adequate resuscitation, underwent a two-staged procedure, 6 days apart, to achieve skin closure. After an unremarkable skin healing, a mesh repair for the consequent incisional hernia was carried out 15 months later. Conclusions: This patient’s ACS was successfully managed in a non-ICU setting and could demonstrate the possibility of successfully managing selected cases of laparotomy-related ACS in low-resource settings without ICU facilities.

scholarly journals Abdominal Compartment Syndrome Secondary to Chronic Constipation

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Helene Flageole ◽  
Jodie Ouahed ◽  
J. Mark Walton ◽  
Yasmin Yousef
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Chronic Constipation ◽  
Functional Constipation ◽  
Intraabdominal Pressure ◽  
Abdominal Wall Defects ◽  
Rapid Improvement ◽  
Severe Hypotension ◽  
History Of ◽  
Abdominal Compartment

Abdominal compartment syndrome (ACS) is defined as an elevated intraabdominal pressure with evidence of organ dysfunction. The majority of published reports of ACS are in neonates with abdominal wall defects and in adults following trauma or burns, but it is poorly described in children. We describe the unusual presentation of an 11-year-old boy with a long history of chronic constipation who developed acute ACS requiring resuscitative measures and emergent disimpaction. He presented with a 2-week history of increasing abdominal pain, nausea, diminished appetite and longstanding encopresis. On exam, he was emaciated with a massively distended abdomen with a palpable fecaloma. Abdominal XR confirmed these findings. Within 24 hours of presentation, he became tachycardic and oliguric with orthostatic hypotension. Following two enemas, he acutely deteriorated with severe hypotension, marked tachycardia, acute respiratory distress, and a declining mental status. Endotracheal intubation, fluid boluses, and vasopressors were commenced, followed by emergent surgical fecal disimpaction. This resulted in rapid improvement in vital signs. He has been thoroughly investigated and no other condition apart from functional constipation has been identified. Although ACS secondary to constipation is extremely unusual, this case illustrates the need to actively treat constipation and what can happen if it is not.

scholarly journals Prediction of kidney damage in the syndrome of intra-abdominal hypertension

2018 ◽  
Vol 22 (4) ◽  
pp. 669-673
Author(s):  
A.I. Suchodolia ◽  
K.Yu. Krenov ◽  
I.V. Loboda ◽  
V.M. Monastyrskiy
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Perfusion Pressure ◽  
Blood Pressure Measurement ◽  
Abdominal Cavity ◽  
Multiple Organ ◽  
Intraabdominal Pressure ◽  
Abdominal Pressure ◽  
Abdominal Hypertension ◽  
Abdominal Compartment

The syndrome of intra-abdominal hypertension and abdominal compartment syndrome can complicate the course of many surgical abdominal diseases and lead to the development and progression of multiple organ failure. In particular, impaired renal blood flow is an early and significant pathogenetic link of thanatogenesis in such patients. Mortality at an abdominal compartment syndrome reaches very significant figures — 42–68% and without treatment approaches 100%. The purpose of the work is to predict renal failure in patients with intra-abdominal hypertension syndrome and abdominal compartment syndrome. A survey of 40 patients with acute surgical abdominal pathology and signs of intra-abdominal hypertension was performed. Blood pressure measurement was performed according to the recommendations of the conciliation commission on the problem of intra-abdominal hypertension syndrome (SIGA) from 2004. Also, the calculation of perfusion pressure of the abdominal cavity was performed, which is the difference between mean arterial pressure and intraabdominal pressure. The level of perfusion pressure is less than 60 mm Hg. Art. correlates with survival of patients. Determination of cystatin C was performed in the first 48 hours after hospitalization of patients in VAIT. The calculation of the results was carried out according to the standard t-criterion calculation formulas in the Exel tables. It was found that of 40 patients died — 13, and survived — 27. The reliable difference between the indicators of intra-abdominal pressure in surviving and deceased patients was acquired only at the end of the third day of observation, whereas the abdominal perfusion pressure indices significantly differed already in the first day. In the analysis of cytatine C in surviving patients, the biomarker values were 1,299±0.827, whereas in those who died 1,882±0.828, the statistical deviation was significant at p≤0.05. Thus: the cytosine C score, in combination with the dynamics of abdominal perfusion tick, can be considered as a marker that may predict the development of renal insufficiency in patients with SIGA-AKS.

scholarly journals Intra-abdominal Hypertension and Abdominal Compartment Syndrome in patients undergoing emergency laparotomy

2020 ◽  
Vol 24 (3) ◽  
pp. 254-259
Author(s):  
Malik Irfan Ahmed ◽  
Muhammad Waqas Raza ◽  
Fazal Hussain Shah ◽  
Muhammad Hanif ◽  
Khalid Shahzad ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Intraabdominal Pressure ◽  
Emergency Laparotomy ◽  
Trauma Patients ◽  
Burst Abdomen ◽  
Organ Systems ◽  
Abdominal Hypertension ◽  
The Impact ◽  
Abdominal Compartment

Objective: The objectives of the Prospective observational study were to identify the frequency of abdominal compartment syndrome and intraabdominal hypertension in patients undergoing emergency laparotomy for trauma and peritonitis and to determine the impact of raised intraabdominal pressure on the overall morbidity and mortality. Materials and Methods: The study was conducted in the department of surgery Benazir Bhutto Hospital Rawalpindi. From June 2013 to May 2014 a total of 50 patients undergoing emergency laparotomy were included. IAP was measured preoperatively then postoperatively at 0, 6, 24 hours, and the findings were recorded on a specially designed preform. The patients having higher IAP were further evaluated up to 72 hours. All vitals, urine output, oxygen saturation, serum urea, creatinine were noted. The main outcomes were duration of hospital stay, the occurrence of burst abdomen, and mortality. Results: At the preoperative level the incidence of IAH was 86%. The mortality association with IAH at 6 hours postoperatively was quite significant (P<0.029). The incidence of postoperative ACS was 5% among the total patients and it was 15.6% in trauma patients. No significant association was found between IAP and occurrence of burst abdomen at any level (P values 0.4, 0.26, 0.53, 0.58 at intervals preoperatively, 0, 6, 24 hours postoperative respectively.  Conclusion: Intraabdominal pressure is an important factor that predicts the mortality of patients undergoing emergency laparotomy. It should be carefully monitored and managed accordingly to avoid the detrimental effects on virtually all organ systems. Abdominal decompression in significantly elevated intraabdominal pressure reverts the physiological derangement of Intrabdominal hypertension.

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