Intra-abdominal hypertension and abdominal compartment syndrome

Sieh, K.-M.; Chu, Kent‐Man; Wong, John

doi:10.1007/s004230000185

Cited by 33 publications

(25 citation statements)

References 89 publications

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“…9,10 This usually occurs when the intra-abdominal pressure, measured by IVP, is above 20-25 cm H 2 O. 9,11 The volume increase is mainly due to abdominal trauma, but may also be caused by significant intra-abdominal bleeding or collections, retroperitoneal hematomas, difuse peritonitis, peritoneal edema due to vigorous volemic ressucitation, packing of the abdominal cavity (damage control), pancreatitis, pneumoperitoneum and neoplasms. [11][12][13] Treatment consists of prompt surgical decompression and volemic resuscitation.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Compartment Syndrome Due to Warfarin-Related Retroperitoneal Hematoma

Andrade

Pimenta

Belezia

et al. 2007

Clinics

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Section: Discussionmentioning

confidence: 99%

Abdominal Compartment Syndrome Due to Warfarin-Related Retroperitoneal Hematoma

Andrade

Pimenta

Belezia

et al. 2007

Clinics

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“…Untreated IAH converts to ACS and results in multiorgan failure with high risk of morbidity and mortality [1,2,4]. Thus early diagnosis of IAH, before ACS occurs, is extremely important.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Intestinal Hypoperfusion and Serum D-Lactate Levels During Experimental Intra-Abdominal Hypertension

et al. 2006

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Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) may result from several clinic situations and carries high morbidity and mortality risk, particularly in intensive care unit patients. The clinical spectrum changes from splanchnic hypoperfusion and intestinal ischemia to multiple organ failure. Previous studies demonstrated that serum D-lactate levels may be an early indicator in intestinal ischemia. This study aimed to investigate the relationship between intestinal ischemia and serum D-lactate levels during experimental IAH. Thirty-two male Wistar Albino rats weighing 250+/-50 g were divided into four groups. Three different intra-abdominal pressure (IAP) levels supplied by placement of an intraperitoneal Peritofix catheter and iso-osmotic polyethylene glycol infusion. Each of the IAP levels (15, 20, and 25 mm Hg groups) was checked with the monitor system and fixed for an hour. Control-group animals were not subjected to increased IAP. One hour later, 5-ml blood samples were taken for measurement of serum D-lactate levels and 2-cm intestinal tissue samples were taken 5 cm proximal to the ileocecal valve for histopathologic examination. Elevated serum D-lactate levels were recorded in animals with higher IAP levels. There was a positive correlation between serum D-lactate levels and IAP levels. Histological examinations of the intestinal tissue samples showed no significant pathologic changes in concordance with intestinal ischemia. Serum D-lactate levels may be an early indicator for increased IAP pressure before intestinal ischemic changes occur.

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“…IAP is transmitted to the thoracic cavity directly or indirectly thought deviation of the diaphragm. The upward movement of the diaphragm causes reduction of chest wall and lung compliance, increasing intrapleural pressure, decrease of ventilation and increase of pulmonary vascular resistance [10][11][12][13]. The main respiratory problem in IAH patients is the development of compression atelectasis of the lung parenchyma, mainly in the caudal parts near diaphragm, caused by its elevation [14].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Effects of Elevated Intra-abdominal Pressure on the Respiratory Mechanics in Mechanically Ventilated Patients

et al. 2013

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Aim: The aim of the study was to evaluate the effect of different grades of increased intraabdominal hypertension (IAH) on the respiratory mechanics. Material and Methods:In this prospective observational clinical study, the influence of intaabdominal pressure (IAP) on respiratory parameters was assessed in 20 patients requiring mechanical ventilation with IAH grade I, 20 patients with IAH grade II, and 20 patients with grade III IAH. Respiratory parameters were measured and recorded by a computerized system incorporated into the mechanical ventilator.Results: A statistical difference was noticed between IAP and the dynamic respiratory parameters among the groups. Regarding the respiratory parameters positive correlation between the IAP on one hand, and peak airway pressure and resistance on the other hand was notable: IAP increased and so did pressures and the resistance in the respiratory pathways. Also the correlation between IAP, on one hand and the compliance and peripheral saturation with oxygen on the other hand, was negative. Referring the mean pulmonary pressure there wasn't correlation among IAP and mean pulmonary pressure in the groups. Conclusion:IAP leads to impairment of the respiratory mechanics. An increase of the level of IAP is followed by an increase in the altering effects upon the respiratory system.

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Intra-abdominal hypertension and abdominal compartment syndrome

Cited by 33 publications

References 89 publications

Abdominal Compartment Syndrome Due to Warfarin-Related Retroperitoneal Hematoma

Abdominal Compartment Syndrome Due to Warfarin-Related Retroperitoneal Hematoma

The Relationship Between Intestinal Hypoperfusion and Serum D-Lactate Levels During Experimental Intra-Abdominal Hypertension

Evaluation of the Effects of Elevated Intra-abdominal Pressure on the Respiratory Mechanics in Mechanically Ventilated Patients

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