Percutaneous catheter drainage of secondary abdominal compartment syndrome: A case report

Patel, Aditi; Davis, Chad; Davis, Trent

doi:10.1016/j.radcr.2021.01.008

Cited by 3 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Spirometry breathing exercises cause variations in the intra-abdominal pressure. Increased intra-abdominal pressure is known to augment catheter drainage [ 15 ]. The use of incentive spirometry to potentially enhance catheter drainage by increasing intraabdominal pressure has not been studied before.…”

Section: Introductionmentioning

confidence: 99%

Pilot Study on the Influence of Incentive Spirometry on Percutaneous Image-Guided Intra-Abdominal Drainage Catheter Pressure: A Potential Method to Enhance Drainage

et al. 2023

View full text Add to dashboard Cite

Background: To report the evaluation of incentive spirometry (IS)-induced pressure changes in intra-abdominal drainage catheters and consider its use for maintaining catheter patency and enhancing drainage. Methods: Prospective study of patients with indwelling intra-abdominal drainage catheters for abdominal fluid collections who had their intra-abdominal pressures measured while performing incentive spirometry. Patients were instructed in the use of an incentive spirometer. Within a week after initial drainage, pressure changes with IS were evaluated three times at 1500 cc and three times at maximum inspiratory effort. Intra-abdominal pressure (IAP) was measured using a pressure monitor connected to the drainage catheter. Results: Twenty patients (men, 12; women, 8). Fluid collection locations were pelvis, Right-upper quadrant (RUQ), Left-upper quadrant (LUQ), Left-lower quadrant (LLQ), and Right-lower quadrant (RLQ). A total of 16 of 20 patients showed an elevation of IAP with IS. At 1500 cc, the pressure increased by an average of 41.24 mmH2O. At maximal inspiratory effort, the pressure increased by an average of 48.26 mmH2O. Pressure increase was greater in upper abdomen catheters. Four patients with lower abdominal and pelvic collections showed minimal pressure changes with IS. Conclusion: IS increases IAP and fluid flow through abdominal drainage catheters. Future studies are warranted to determine whether the use of IS enhances catheter performance and facilitates drainage via its effect on IAP.

show abstract

Section: Introductionmentioning

confidence: 99%

Pilot Study on the Influence of Incentive Spirometry on Percutaneous Image-Guided Intra-Abdominal Drainage Catheter Pressure: A Potential Method to Enhance Drainage

et al. 2023

View full text Add to dashboard Cite

show abstract

“…São causas comuns de disfunção múltipla orgânica na presença de SCA sustentada: Acidose metabólica, oligúria/anúria, pressão elevada das vias aéreas o hipercarbia refratária ao aumento da frequência respiratória, hipoxemia refratária a terapia com oxigênio e PEEP, hipertensão intracraniana. No caso da SCA iatrogênica especificamente, o colapso sistêmico é mais comumente observado e muito mais grave em decorrência do aumento súbito e sustentado da pressão intra-abdominal, diminuição do retorno venoso, diminuição do débito cardíaco, aumento da pressão intratorácica, aumento da resistência ventilatória, aumento da pressão intracraniana, diminuição da pressão de perfusão cerebral e síndrome policompartimental [1][2][3][4][5][6][7] .…”

unclassified

A Síndrome Compartimental Aguda existe e pode conduzir a desfechos irreversíveis se não tratada a tempo

Pereira

2022

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

RESUMO A SCA é uma condição potencialmente letal causada por qualquer evento que produza aumento da PIA induzindo colapso sistêmico, hipoperfusão tecidual e disfunção orgânica. Assim, a SCA não é um problema exclusivamente da população de pacientes traumáticos e cirúrgicos. A SCA iatrogénica predispõe os pacientes à falência de múltiplos órgãos se nenhuma ação urgente for tomada.

show abstract

“…Common causes of multiple organ dysfunction in the presence of sustained ACS are: metabolic acidosis, oliguria/anuria, elevated airway pressure or hypercarbia refractory to increased respiratory rate, hypoxemia refractory to oxygen therapy and PEEP, and intracranial hypertension. In the case of iatrogenic ACS specifically, systemic collapse is more commonly observed and much more severe due to a sudden and sustained increase in intra-abdominal pressure, decreased venous return, decreased cardiac output, increased intrathoracic pressure, increased ventilatory resistance, increased intracranial pressure, decreased cerebral perfusion pressure, and polycompartmental syndrome 1 - 7 .…”

mentioning

confidence: 99%

Acute Compartment Syndrome exists and can lead to irreversible outcomes if not treated in time

Pereira

2022

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

Percutaneous catheter drainage of secondary abdominal compartment syndrome: A case report

Cited by 3 publications

References 7 publications

Pilot Study on the Influence of Incentive Spirometry on Percutaneous Image-Guided Intra-Abdominal Drainage Catheter Pressure: A Potential Method to Enhance Drainage

Pilot Study on the Influence of Incentive Spirometry on Percutaneous Image-Guided Intra-Abdominal Drainage Catheter Pressure: A Potential Method to Enhance Drainage

A Síndrome Compartimental Aguda existe e pode conduzir a desfechos irreversíveis se não tratada a tempo

Acute Compartment Syndrome exists and can lead to irreversible outcomes if not treated in time

Contact Info

Product

Resources

About