Abdominal Compartment Syndrome Is Common in Medical Intensive Care Unit Patients Receiving Large-Volume Resuscitation

2007 ◽  
Vol 22 (5) ◽  
pp. 294-299 ◽  
Author(s):  
Elizabeth L. Daugherty ◽  
Hongyan Liang ◽  
Darren Taichman ◽  
John Hansen-Flaschen ◽  
Barry D. Fuchs
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Large Volume ◽  
Medical Intensive Care Unit ◽  
Volume Resuscitation ◽  
Medical Intensive Care ◽  
Abdominal Compartment

scholarly journals Relationship between Sequential Organ Failure Assessment (SOFA) and intra-abdominal pressure in intensive care unit

2014 ◽  
Vol 27 (4) ◽  
pp. 256-260 ◽  
Author(s):  
Gustavo Rocha Costa de FREITAS ◽  
Olival Cirilo Lucena da FONSECA-NETO ◽  
Carla Larissa Fernandes PINHEIRO ◽  
Luiz Clêiner ARAÚJO ◽  
Roberto Esmeraldo Nogueira BARBOSA ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Sequential Organ Failure Assessment ◽  
Compartment Syndrome ◽  
Organ Failure ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Pressure ◽  
Abdominal Hypertension ◽  
Failure Assessment ◽  
Abdominal Compartment

BACKGROUND: Patients in the intensive care unit are at risk of developing intra-abdominal hypertension and abdominal compartment syndrome. AIM: To describe the relation between Sequential Organ Failure Assessment (SOFA) vs. intra-abdominal pressure and the relation between SOFA and risk factors for intra-abdominal hypertension. METHOD: In accordance with the recommendations of the World Society of the Abdominal Compartment Syndrome, the present study measured the intra-abdominal pressure of patients 24 h and 48 h after admission to the unit and calculated the SOFA after 24 h and 48 h. Data was collected over two-month period. RESULTS: No correlation was found between SOFA and intra-abdominal pressure. Seventy percent of the patients were men and the mean age was 44 years, 10% had been referred from general surgery (with a mean intra-abdominal pressure of 11) and 65% from neurosurgery (with a mean intra-abdominal of 6.7). Only three (7.5%) presented with intra-abdominal hypertension. The highest SOFA was 15 and the most frequent kind of organ failure was neurological, with a frequency of 77%. There was a strong correlation between the SOFA after 24 h and 48 h and peak respiratory pressure (ρ=0.43/p=0.01; ρ=0.39/p=0.02). CONCLUSION: No correlation was found between SOFA and intra-abdominal pressure in the patients covered by the present study. However, it is possible in patients undergoing abdominal surgery or those with abdominal sepsis. Não houve correlação entre o SOFA e a pressão intra-abdominal nos pacientes aqui estudados; contudo, sinalizou ser possível em pacientes com operação abdominal ou naqueles com sepse abdominal.

ABDOMINAL COMPARTMENT SYNDROME IS COMMON IN MEDICAL ICU PATIENTS RECEIVING LARGE VOLUME RESUSCITATION

2004 ◽  
Vol 32 (Supplement) ◽  
pp. A83 ◽  
Author(s):  
Elizabeth L Daugherty ◽  
Hongyan Liang ◽  
Darren Taichman ◽  
John Hansen-Flaschen ◽  
Barry D Fuchs
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Large Volume ◽  
Volume Resuscitation ◽  
Icu Patients ◽  
Abdominal Compartment

Expeditious Diagnosis and Laparotomy for Patients with Acute Abdominal Compartment Syndrome May Improve Survival

2018 ◽  
Vol 84 (11) ◽  
pp. 1836-1840 ◽  
Author(s):  
Jonathan Nguyen ◽  
Mary Noory ◽  
Lisa Capano-Wehrle ◽  
John Gaughan ◽  
Joshua P. Hazelton
Keyword(s):  
Intensive Care ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Multidisciplinary Approach ◽  
Surgical Intervention ◽  
Early Recognition ◽  
Decompressive Laparotomy ◽  
Significant Difference ◽  
Medical Intensive Care ◽  
Abdominal Compartment

Causes of abdominal compartment syndrome (ACS) are varied and can result from both medical and surgical diseases. Early recognition of ACS and prompt surgical treatment has been shown to improve mortality. We hypothesize that earlier recognition of ACS and earlier involvement by surgical specialists may improve mortality. A retrospective review between July 2010 and July 2015 was performed of adult patients who underwent decompressive laparotomy for ACS. Patients were divided into surgical and medical intensive care units (SICU and MICU) arms. Twenty patients were included (MICU = 12; SICU = 8) without significant difference between the groups. Median time from admission to suspicion for MICU patients was 60 hours versus 13 hours for SICU patients ( P = 0.013). Time from suspicion to surgical consult was 60 minutes versus 0 minutes, respectively ( P = 0.003), however, time from surgical consult to intervention was not different. Mortality rate in the MICU was 83 per cent versus 12.5 per cent in the SICU ( P = 0.005). Patients in the SICU who developed ACS were more quickly diagnosed than those in the MICU. These patients had a shorter time from suspicion of ACS to surgical consultation and eventual surgical intervention, and was associated with improved survival. A multidisciplinary approach, including early surgical consultation, for patients in whom there is a suspicion of ACS may contribute to improved mortality.

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