Intensive Care Unit Management of the Adult Open Abdomen
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS), the pathophysiologic manifestations of elevated intra-abdominal pressure (IAP), are commonly encountered but under-appreciated causes of organ dysfunction, organ failure, and patient mortality in the ICU. Due to its detrimental physiologic effects, every attempt should be made to minimize the development of elevated IAP in the critically ill. Serial IAP measurements, optimization of systemic perfusion and end-organ function, institution of multimodality medical management strategies to minimize IAP, and prompt surgical decompression for refractory IAH/ACS are essential to reducing patient morbidity and mortality in the ICU setting.
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