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Perioperative Kidney Injury pp 145–159Cite as

Kidney Injury in Abdominal Compartment Syndrome

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Abstract

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) represent a spectrum of disease with wide-reaching effects. While often thought of as a surgical disease, a number of medical management strategies may be utilized, in some cases obviating the need for surgical intervention. Central to this issue are the interrelated pressures within the abdominal, thoracic, and vascular compartments within the body. Fluid management and the treatment of renal dysfunction in patients at risk for IAH and ACS is a complex problem and one that cannot be easily separated from concurrent multiorgan system effects. We therefore provide a brief overview of the systemic effects that affect many patients developing acute kidney injury in this setting. We will review in more detail the relevant renal pathophysiology as well as the medical and surgical management strategies for treating patients with IAH and ACS.

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Acknowledgements

The authors would like to thank Lynn Abell for her assistance in writing this chapter.

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Authors and Affiliations

  1. Department of Anesthesiology and Critical Care Medicine, George Washington University Medical Center, 900 23rd Street, NW, Washington, DC, 20037, USA

    Anna Parker Sattah MD

  2. Department of Anesthesiology and Critical Care Medicine, George Washington University, 900 23rd Street, NW, Washington, DC, 20037, USA

    Lakhmir S. Chawla MD

Authors
  1. Anna Parker Sattah MD
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  2. Lakhmir S. Chawla MD
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Correspondence to Lakhmir S. Chawla MD .

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Editors and Affiliations

  1. Division of Nephrology and Hypertension, University of Cincinnati, Cincinnati, Ohio, USA

    Charuhas V. Thakar

  2. Program of Applied Translational Research, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA

    Chirag R. Parikh

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Sattah, A.P., Chawla, L.S. (2015). Kidney Injury in Abdominal Compartment Syndrome. In: Thakar, C., Parikh, C. (eds) Perioperative Kidney Injury. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1273-5_12

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  • DOI: https://doi.org/10.1007/978-1-4939-1273-5_12

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