Release of Abdominal Compartment Syndrome Improves Survival in Patients with Burn Injury

Hobson, Kristina G.; Young, K.; Ciraulo, Amy; Palmieri, Tina L; Greenhalgh, David G.

doi:10.1097/00005373-200212000-00016

Cited by 138 publications

(61 citation statements)

References 13 publications

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“…[12][13][14][15] A resuscitation volume greater than 237 ml/kg over the course of 12 hours (or 16 liters during a 12-hour period in a 70-kg man) appears to be the threshold for the development of ACS. 16 ACS results in decreased renal blood flow and subsequent renal failure, intestinal ischemia, respiratory failure, and death if not recognized even and treated early. 17 The treatment of ACS by drain placement and abdominal escharotomy followed by the last resort of a decompressive laparotomy may improve survival but is associated with dramatic increases in morbidity.…”

Section: Consequences Of Over-resuscitationmentioning

confidence: 99%

Evolution of Burn Resuscitation in Operation Iraqi Freedom

Chung

Blackbourne

Wolf

et al. 2006

Journal of Burn Care & Research

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Burns are common in all military conflicts, comprising approximately 10% of all casualties. Of these, nearly 20% are categorized as severe, or involving greater than 20% TBSA, and require significant intravenous resuscitation.1 A unique set of challenges have emerged during the present conflict associated with global evacuation of burned soldiers, adding a new dimension to the alreadycomplex and often-controversial topic of the burn resuscitation.2 Critical advances in air evacuation of the war wounded, thorough prewar planning, and sustained burn care education of deployed personnel have proven vital in the optimal care of our injured soldiers.

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Section: Consequences Of Over-resuscitationmentioning

confidence: 99%

Evolution of Burn Resuscitation in Operation Iraqi Freedom

Chung

Blackbourne

Wolf

et al. 2006

Journal of Burn Care & Research

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“…Studies in children are limited, but it has been shown that early abdominal decompression results in rapid return of vital parameters to pre-ACS levels in both children and adults (2,7). Decompressive management is traditionally performed via laparotomy; however, some cases may improve with percutaneous drainage of abdominal fluid (8,9).…”

Section: Discussionmentioning

confidence: 99%

Abdominal compartment syndrome contributing to failure of extracorporeal membrane oxygenation in an infant with congenital heart disease and sepsis

McKee¹,

Harris

Easley

2006

Pediatric Critical Care Medicine

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Abdominal compartment syndrome is a life-threatening condition resulting from an increase in intra-abdominal pressure that compromises abdominal organ perfusion, pulmonary function, and cardiac output. Mortality rates from abdominal compartment syndrome are as high as 60% in adults and children. This report of an infant with congenital heart disease and E. coli sepsis represents the first description of abdominal compartment syndrome that contributed to failure of extracorporeal membrane oxygenation and ultimately death. The pathophysiology, diagnosis, and treatment of abdominal compartment syndrome are also reviewed.

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“…Resolution of the ACS can significantly improve outcome in patients without primary abdominal disease that develop multiple organ dysfunction. 16,17 The effects of elevated IAP on organ function are well documented. [18][19][20][21] Visceral perfusion, abdominal blood flow, central venous pressure (CVP), pulmonary pressures, cardiac output, and renal function are all adversely affected by an increasing IAP, and early changes can be seen when levels exceed 10 cm H 2 O.…”

Section: Pathophysiologymentioning

confidence: 99%