Abdominal Compartment Syndrome: A Life-Threatening Condition in Air Medical Transportation of Multiple Trauma Patients

2021 ◽  
Author(s):  
Ebrahim Hazrati ◽  
Hamze Shahali
Keyword(s):  
Compartment Syndrome ◽  
Multiple Trauma ◽  
Abdominal Compartment Syndrome ◽  
Trauma Patients ◽  
Threatening Condition ◽  
Life Threatening ◽  
Multiple Trauma Patients ◽  
Abdominal Compartment

Linea Alba Fasciotomy: A Novel Alternative in Trauma Patients with Secondary Abdominal Compartment Syndrome

2010 ◽  
Vol 76 (3) ◽  
pp. 312-316 ◽  
Author(s):  
Juan C. Duchesne ◽  
Meghan P. Howell ◽  
Calvin Eriksen ◽  
Georgia M. Wahl ◽  
Kelly V. Rennie ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Volume Index ◽  
Trauma Patients ◽  
Linea Alba ◽  
Physiological Variables ◽  
Abdominal Hypertension ◽  
Polytrauma Patients ◽  
Abdominal Decompression ◽  
Abdominal Compartment

Polytrauma patients needing aggressive resuscitation can develop intra-abdominal hypertension (IAH) with subsequent secondary abdominal compartment syndrome (SACS). After patients fail medical therapy, decompressive laparotomy is the surgical last resort. In patients with severe pancreatitis SACS, the use of linea alba fasciotomy (LAF) is an effective intervention to lower IAH without the morbidity of laparotomy. A pilot study of LAF was designed to evaluate its benefit in patients with SACS polytrauma. We conducted an observational study of blunt injury polytrauma patients undergoing LAF. Variables measured before and after LAF included intra-abdominal pressure (IAP, mmHg), abdominal perfusion pressure (APP, mmHg), right ventricular end diastolic volume index (RVEDVI, mL/m2), and ejection fraction. Of the five trauma patients with SACS, the mean age was 36 ± 17, four (80%) male with an Injury Severity Score of 27 ± 9. Pre- and post-LAF, IAP was 20.6 ± 4.7 and 10.6 ± 2.7 ( P < 0.0001), APP 55.2 ± 5.5 and 77.6 ± 7.1 ( P < 0.0001), RVEDVI 86.4 ± 9.3 and 123.6 ± 11.9 ( P < 0.0001), and EF 27.6 ± 4.2 and 40.8 ± 5 ( P < 0.0001), respectively. One patient needed full decompression for bile ascites from unrecognized liver injury. Linea alba fasciotomy, as a first-line intervention before committing to full abdominal decompression in patients with SACS trauma, improved physiological variables without mortality Consideration for LAF as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma SACS.

scholarly journals Abdominal compartment syndrome in trauma patients: New insights for predicting outcomes

2016 ◽  
Vol 9 (2) ◽  
pp. 53 ◽  
Author(s):  
MarieL Crandall ◽  
AishaW Shaheen ◽  
NormanG Nicolson ◽  
Eduardo Smith-Singares ◽  
GaryJ Merlotti ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Trauma Patients ◽  
Abdominal Compartment

One Elevated Bladder Pressure Measurement May Not be Enough to Diagnose Abdominal Compartment Syndrome

2013 ◽  
Vol 79 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Andrew Joseph Young ◽  
William Weber ◽  
Luke Wolfe ◽  
Rao R. Ivatury ◽  
Therese Marie Duane
Keyword(s):  
Logistic Regression ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Injury Severity ◽  
Bladder Pressure ◽  
Trauma Patients ◽  
Severely Injured ◽  
Predictors Of Mortality ◽  
Lengths Of Stay ◽  
Abdominal Compartment

Bladder pressure measurements (BPMs) are considered a key component in the diagnosis of abdominal compartment syndrome (ACS). The purpose of this observational review was to determine risk factors of ACS and associated mortality with particular focus on the role of BPM. A retrospective trauma registry and chart review was performed on trauma patients from January 2003 through December 2010. Comparisons were made between patients with and without ACS. There were 3172 patients included in the study of whom 46 had ACS. Patients with ACS were younger, more severely injured, with longer lengths of stay. Logistic regression determined Injury Severity Score (ISS) and urinary catheter days as independent predictors of ACS, whereas independent predictors of mortality included age, ISS, and ACS. Subset analysis demonstrated no association between BPM 20 mmHg or greater and diagnosis of ACS versus no ACS. Logistic regression indicated independent predictors of mortality were number of BPM 20 mmHg or greater and age. Patients with ACS are more severely injured with worse outcomes. An isolated BPM 20 mmHg or greater was not associated with ACS and may be inadequate to independently diagnose ACS. These findings suggest the need for repeat measurements with early intervention if they remain elevated in an effort to decrease mortality associated with ACS.

Abdominal compartment syndrome secondary to chronic constipation in MECP2 duplication syndrome

2021 ◽  
Vol 14 (6) ◽  
pp. e242104
Author(s):  
Alyaa Al Ali ◽  
Ram Singh ◽  
Guido Filler ◽  
Musaab Ramsi
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Multiorgan Failure ◽  
Abdominal Pressure ◽  
Decompressive Laparotomy ◽  
Mecp2 Duplication Syndrome ◽  
Life Threatening ◽  
Refractory Septic Shock ◽  
Abdominal Compartment ◽  
Duplication Syndrome

Abdominal compartment syndrome (ACS) is an infrequently encountered life-threatening disorder characterised by elevated abdominal pressure with evidence of new organ dysfunction. It is rarely reported in paediatrics. We describe an extremely unusual presentation of a 13-year-old boy with long-standing constipation who developed ACS complicated by refractory septic shock and multiorgan failure. He was treated with emergent decompressive laparotomy and supportive critical care. This case highlights the need for early diagnosis and timely management of ACS to improve its outcome.

Abdominal Compartment Syndrome: Predictors of Adverse Outcomes in Trauma Patients

2013 ◽  
Vol 179 (2) ◽  
pp. 198
Author(s):  
A.W. Shaheen ◽  
M. Crandall ◽  
G.J. Merlotti ◽  
Y. Jalundhwala ◽  
N. Issa
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Adverse Outcomes ◽  
Trauma Patients ◽  
Abdominal Compartment

scholarly journals Abdominal compartment syndrome in trauma patients

2010 ◽  
Vol 57 (4) ◽  
pp. 75-81
Author(s):  
Milena Pandurovic ◽  
Djordje Bajec ◽  
Pavle Gregoric ◽  
Bojan Jovanovic ◽  
Dejan Radenkovic ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Clinical Manifestations ◽  
Definitive Treatment ◽  
Abdominal Pressure ◽  
Trauma Patients ◽  
Routine Measurement ◽  
Patients At Risk ◽  
Risk Patients ◽  
Abdominal Compartment

Intra-abdominal compartment syndrome (ACS) are increasingly recognized to be a contributing cause of organ dysfunction and mortality in critically ill patients. The term abdominal compartment syndrome (ACS) describes the clinical manifestations of the pathologic elevation of the intra abdominal pressure (IAP). This syndrome is most commonly observed in the setting of severe abdominal trauma. ACS affects mainly the respiratory, cardiovascular, renal, gastrointestinal and central nervous system. Preventing ACS by the identification of patients at risk and early diagnosis is paramount to its successful management. Because of the frequency of this condition, routine measurement of intra abdominal pressure should be performed in high risk patients in the intensive care unit. Surgical decompression is definitive treatment of fully developed abdominal compartment syndrome, but nonsurgical measures can often effectively affect lesser degrees of IAH and ACS.

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