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Intra-abdominal Hypertension and Abdominal Compartment Syndrome

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Surgical Critical Care Therapy

Abstract

Interest in intra-abdominal hypertension and abdominal compartment syndrome has intensified in recent years as the recognition of this condition has increased, thereby providing a potential therapeutic target to improve outcomes for critically ill patients [22]. According to a recent systematic review, the incidence of abdominal compartment syndrome varies between 0.5% and 36.4% of trauma patients, mortality is nearly universal if untreated, and for treated patients, overall survival is improved across all study cohorts, though survival rates range widely, from 25% to 75%.

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References

  1. Annane D. What is the evidence for harm of neuromuscular blockade and corticosteroid use in the intensive care unit? Semin Respir Crit Care Med. 2016;37:51–6.

    Article  Google Scholar 

  2. Ball CG, kirkpatrick AW, karmali S, Malbrain ML, Gmora S, Mahabir RC, Doig C, Hameed SM. Tertiary abdominal compartment syndrome in the burn injured patient. J Trauma. 2006;61:1271–3.

    Article  Google Scholar 

  3. Beckman M, Paul J, Neideen T, Weigelt JA. Role of the open abdomen in critically ill patients. Crit Care Clin. 2016;32:255–64.

    Article  Google Scholar 

  4. Bloomfield GL, Ridings PC, Blocher CR, Marmarou A, Sugerman HJ. A proposed relationship between increased intra-abdominal, intrathoracic, and intracranial pressure. Crit Care Med. 1997;25:496–503.

    Article  CAS  Google Scholar 

  5. Cheatham ML. Abdominal compartment syndrome: pathophysiology and definitions. Scand J Trauma Resusc Emerg Med. 2009;17:10.

    Article  Google Scholar 

  6. Cheatham ML, White MW, Sagraves SG, Johnson JL, Block EF. Abdominal perfusion pressure: a superior parameter in the assessment of intra-abdominal hypertension. J Trauma. 2000;49:621–6; discussion 626–7.

    Article  CAS  Google Scholar 

  7. Cotton BA, Gunter OL, Isbell J, Au BK, Robertson AM, Morris JA Jr, St Jacques P, Young PP. Damage control hematology: the impact of a trauma exsanguination protocol on survival and blood product utilization. J Trauma. 2008;64:1177–82; discussion 1182–3.

    Article  Google Scholar 

  8. De Waele J, Desender L, De Laet I, Ceelen W, Pattyn P, Hoste E. Abdominal decompression for abdominal compartment syndrome in critically ill patients: a retrospective study. Acta Clin Belg. 2010;65:399–403.

    Article  Google Scholar 

  9. De Waele JJ, Hoste EA, Malbrain ML. Decompressive laparotomy for abdominal compartment syndrome–a critical analysis. Crit Care. 2006;10:R51.

    Article  Google Scholar 

  10. De Waele JJ, Kimball E, Malbrain M, Nesbitt I, Cohen J, Kaloiani V, Ivatury R, Mone M, Debergh D, Bjorck M. Decompressive laparotomy for abdominal compartment syndrome. Br J Surg. 2016;103:709–15.

    Article  Google Scholar 

  11. Harrahill M. Intra-abdominal pressure monitoring. J Emerg Nurs. 1998;24:465–6.

    Article  CAS  Google Scholar 

  12. Hecker A, Hecker B, Hecker M, Riedel JG, Weigand MA, Padberg W. Acute abdominal compartment syndrome: current diagnostic and therapeutic options. Langenbeck's Arch Surg. 2016;401:15–24.

    Article  CAS  Google Scholar 

  13. Holodinsky JK, Roberts DJ, Ball CG, Blaser AR, Starkopf J, Zygun DA, Stelfox HT, Malbrain ML, Jaeschke RC, Kirkpatrick AW. Risk factors for intra-abdominal hypertension and abdominal compartment syndrome among adult intensive care unit patients: a systematic review and meta-analysis. Crit Care. 2013;17:R249.

    Article  Google Scholar 

  14. Hunter JD, Damani Z. Intra-abdominal hypertension and the abdominal compartment syndrome. Anaesthesia. 2004;59:899–907.

    Article  CAS  Google Scholar 

  15. Jensen KK, Backer V, Jorgensen LN. Abdominal wall reconstruction for large incisional hernia restores expiratory lung function. Surgery. 2017;161(2):517–24.

    Article  Google Scholar 

  16. Joseph DK, Dutton RP, Aarabi B, Scalea TM. Decompressive laparotomy to treat intractable intracranial hypertension after traumatic brain injury. J Trauma. 2004;57:687–93; discussion 693–5.

    Article  Google Scholar 

  17. Khan S, Verma AK, Ahmad SM, Ahmad R. Analyzing intra-abdominal pressures and outcomes in patients undergoing emergency laparotomy. J Emerg Trauma Shock. 2010;3:318–25.

    Article  Google Scholar 

  18. Kirkpatrick AW, Nickerson D, Roberts DJ, Rosen MJ, Mcbeth PB, Petro CC, Berrevoet F, Sugrue M, Xiao J, Ball CG. Intra-abdominal hypertension and abdominal compartment syndrome after abdominal wall reconstruction: quaternary syndromes? Scand J Surg. 2016;106:97–106.

    Article  Google Scholar 

  19. Kirkpatrick AW, Roberts DJ, Jaeschke R, De Waele JJ, De Keulenaer BL, Duchesne J, Bjorck M, Leppaniemi A, Ejike JC, Sugrue M, Cheatham ML, Ivatury R, Ball CG, Reintam Blaser A, Regli A, Balogh Z, D’amours S, De Laet I, Malbrain ML. Methodological background and strategy for the 2012–2013 updated consensus definitions and clinical practice guidelines from the abdominal compartment society. Anaesthesiol Intensive Ther. 2015;47 Spec No:s63–77.

    Article  Google Scholar 

  20. Malbrain ML, Vidts W, Ravyts M, De Laet I, De Waele J. Acute intestinal distress syndrome: the importance of intra-abdominal pressure. Minerva Anestesiol. 2008;74:657–73.

    CAS  PubMed  Google Scholar 

  21. Maluso P, Olson J, Sarani B. Abdominal compartment hypertension and abdominal compartment syndrome. Crit Care Clin. 2016;32:213–22.

    Article  Google Scholar 

  22. Regli A, Chakera J, De Keulenaer BL, Roberts B, Noffsinger B, Singh B, Van Heerden PV. Matching positive end-expiratory pressure to intra-abdominal pressure prevents end-expiratory lung volume decline in a pig model of intra-abdominal hypertension. Crit Care Med. 2012;40:1879–86.

    Article  Google Scholar 

  23. Strang SG, Van Lieshout EM, Van Waes OJ, Verhofstad MH. Prevalence and mortality of abdominal compartment syndrome in severely injured patients: a systematic review. J Trauma Acute Care Surg. 2016;81:585–92.

    Article  Google Scholar 

  24. Sugrue M. Abdominal compartment syndrome. Curr Opin Crit Care. 2005;11:333–8.

    Article  Google Scholar 

  25. Sugrue M, De Waele JJ, De Keulenaer BL, Roberts DJ, Malbrain ML. A user’s guide to intra-abdominal pressure measurement. Anaesthesiol Intensive Ther. 2015;47:241–51.

    Article  Google Scholar 

  26. Sugrue M, Jones F, Deane SA, Bishop G, Bauman A, Hillman K. Intra-abdominal hypertension is an independent cause of postoperative renal impairment. Arch Surg. 1999;134:1082–5.

    Article  CAS  Google Scholar 

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Correspondence to Gregory P. Victorino .

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Sadjadi, J., Victorino, G.P. (2018). Intra-abdominal Hypertension and Abdominal Compartment Syndrome. In: Salim, A., Brown, C., Inaba, K., Martin, M. (eds) Surgical Critical Care Therapy . Springer, Cham. https://doi.org/10.1007/978-3-319-71712-8_23

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  • DOI: https://doi.org/10.1007/978-3-319-71712-8_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71711-1

  • Online ISBN: 978-3-319-71712-8

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