Intra‐abdominal hypertension and the abdominal compartment syndrome

Hunter, J. D.; Damani, Z.

doi:10.1111/j.1365-2044.2004.03712.x

Cited by 117 publications

(150 citation statements)

References 62 publications

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“…When found, these changes lead to increased morbidity and mortality of patients, causing the compartmentalization syndrome [36,37]. Following the literature review carried out, no prior determination of ACSA was found.…”

Section: Discussionmentioning

confidence: 99%

3D Modeling of Abdominal Surface Area in Cats

Lopes¹,

Habilit²,

Pereira³

et al. 2015

J Veterinar Sci Technol

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Section: Discussionmentioning

confidence: 99%

3D Modeling of Abdominal Surface Area in Cats

Lopes¹,

Habilit²,

Pereira³

et al. 2015

J Veterinar Sci Technol

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“…Descrita pela primeira vez no homem na última metade do século 19, a HIA foi associada inicialmente a disfunções do sistema renal provocando quadros de oligúria ou mesmo anúria (Bradley & Bradley 1947, Hunter & Damani 2004. Efeitos deletérios na função cardíaca e pulmonar também foram descritos no século seguinte pela ação mecânica direta na cavidade abdominal, uma vez que esta culmina principalmente no deslocamento cranial do diafragma e compressão direta de plexos vasculares desde vênulas de parede fina, até grandes vasos como veia cava caudal e porta (Hunter & Damani 2004, Ball et al 2008.…”

Section: Introductionunclassified

“…Efeitos deletérios na função cardíaca e pulmonar também foram descritos no século seguinte pela ação mecânica direta na cavidade abdominal, uma vez que esta culmina principalmente no deslocamento cranial do diafragma e compressão direta de plexos vasculares desde vênulas de parede fina, até grandes vasos como veia cava caudal e porta (Hunter & Damani 2004, Ball et al 2008.…”

Section: Introductionunclassified

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Pressão intra-abdominal em cães

Gonçalves¹,

Wouk

Mira³

2011

Pesq. Vet. Bras.

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812Pesq. Vet. Bras. 31(9):812-816, setembro 2011 RESUMO.-Sob consenso recente em pacientes humanos, os valores basais da pressão intra-abdominal (PIA) e seus prováveis limiares em casos mórbidos, foram estipulados com intuito de favorecer a homogeneidade de estudos científicos, além de fornecer diretrizes para conduta diagnóstica e terapêutica destes pacientes. Valores basais e alterações na pressão intra-abdominal em animais não são ainda suficientemente conhecidos e cientificamente determinados. Médicos veterinários necessitam conhecer melhor os estados mórbidos que cursam com Hipertensão Intra-Abdominal (HIA) ou Sín-drome de Compartimento Abdominal (SCA). O presente estudo objetivou testar em cães a técnica já descrita sob consenso na medicina como modelo de mensuração da pressão intra-abdominal, assim como determinar os valores normais para a espécie. Foram utilizados 15 cães hígidos, machos e fêmeas, homogêneos e todos sem raça definida. A mensuração da pressão intra-abdominal foi realizada por meio da téc-nica indireta de sondagem vesical e utilização de coluna de água com régua graduada em cm de H 2 O, sendo seu valor final convertido para a unidade de mm de Hg. In order to favor the homogeneity of scientific studies and to provide guidelines on the diagnosis and therapy, human basal values of the intra-abdominal pressure (IAP) and their probable thresholds in morbid cases were recently established. However, basal values and changes in the intra-abdominal pressure in animals are still partly unknown and not scientifically confirmed. Veterinarians have the need to expand their knowledge on morbid conditions that develop with Intra-Abdominal Hypertension (IAH) or Abdominal Compartment Syndrome (ACS). The present study aims to test in dogs the technique adopted in human medicine as a model for measurement of intra-abdominal pressure (1) and determine normal values for the species (2). Fifteen known mongrel healthy dogs, males and females and homogenous were tested. The measurement of IAP was done through an indirect technique which involves catheterizing the bladder and using a water column with a graduate ruler in cm of H 2 0 -its final value converted to mm of Hg. The values observed ranged from a minimum sub atmospheric value (below of zero mm of Hg) to 3,75 mmHg. There was a considerable variation within the individual values observed in some animals, bringing up considerations related to body mass, frequency/total volume of the physiologic solution to be administered and inquietude of these dogs during the treatment. The thresholds values found are considered physiologic, indicating reliability of the technique and possibility of its clinical use. The absence of sedation and the use of urethral catheter did not compromised the measurement, however could have resulted in under-or overestimation of the values found.

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“…2 Mortality from ACS remains high (50%-60%) even when decompression of the abdomen is performed early, which highlights the importance of detection and treatment of IAH before end-organ damage occurs. 2 Both 'conservative' and operative methods have been in use to cope with ACS with variable results. Use of 'Bogota Bag' is one of the cheapest and most efficient way of surgically dealing with ACS.…”

Section: Intra-abdominal Hypertension (Iah) and Abdominalmentioning

confidence: 99%

Bogota Bag in Abdominal Compartment Syndrome at Kathmandu Model Hospital

Joshi

Koirala

Upadhyaya

et al. 2017

J Nepal Health Res Council

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Background:The gold standard of quick and definitive treatment of Abdominal compartment syndrome (ACS) is surgical decompression by opening the abdomen and leaving it open until intra-abdominal pressure decreases. Temporary abdominal closure techniques are used to postpone definite closure until predisposing factors causing pathologic elevation of intra-abdominal pressure are resolved.This study aim to analyze feasibility of Bogota Bag placement as a way of temporary abdominal closure. Methods:Cases admitted in the period of eight years that were diagnosed to have or at risk to develop ACS and managed with 'Bogota Bag', irrespective of primary diagnosis were reviewed retrospectively. Cause of ACS, reasons to place Bogota bag, its complications and final outcome in terms of mortality related or not related with Bogota Bag placement were assessed. Results:Total of ten patients had placement of Bogota Bag in the period of eight years. Laparotomy for bowel perforation with peritonitis was the most common primary condition contributing to ACS. Bogota bag was placed in two cases after emergency decompression as a therapeutic measure whereas others were done as prophylactic measure. There were two mortalities (20%) which were not directly related to abdominal compartment syndrome. Conclusions:Abdomen closure with Bogota Bag for patients with ACS or likely to develop ACS is a feasible technique with minimal procedure related morbidities.

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Intra‐abdominal hypertension and the abdominal compartment syndrome

Cited by 117 publications

References 62 publications

3D Modeling of Abdominal Surface Area in Cats

3D Modeling of Abdominal Surface Area in Cats

Pressão intra-abdominal em cães

Bogota Bag in Abdominal Compartment Syndrome at Kathmandu Model Hospital

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