Abdominal compartment syndrome: A review

Abdominal compartment syndrome: A review

Author Carlotti, Ana P. C. P. Google Scholar
Carvalho, Werther B. Autor UNIFESP Google Scholar
Institution Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Abstract Objectives: the aims of this review were to summarize a) the consensus definitions of normal and pathologic intra-abdominal pressure (IAP); b) the techniques to measure IAP; c) the risk factors for intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS); d) the pathophysiology of ACS; and e) the current recommendations for management and prevention of ACS.Data Sources. PubMed was searched using the following terms: ACS, IAH, IAP, and abdominal decompression.Data Synthesis. ACS represents the natural progression of end-organ dysfunction caused by increased IAP and develops if IAH is not recognized and treated appropriately. Although the reported incidence of ACS is relatively low in critically ill children (0.6%-4.7%) it may be under-recognized and under-reported. the diagnosis of IAH/ACS depends on a high index of suspicion and the accurate and frequent measurement of IAP in patients at risk. 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 elevated IAP before end-organ damage occurs.Conclusions. A widespread awareness of the recognition and current approach to management and prevention of IAH and ACS is needed among pediatric intensivists, so outcome of these life-threatening disease processes might be improved. (Pediatr Crit Care Med 2009; 10:115-120)
Keywords intra-abdominal pressure
intra-abdominal hypertension
abdominal compartment syndrome
children
Language English
Date 2009-01-01
Published in Pediatric Critical Care Medicine. Philadelphia: Lippincott Williams & Wilkins, v. 10, n. 1, p. 115-120, 2009.
ISSN 1529-7535 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 115-120
Origin http://dx.doi.org/10.1097/PCC.0b013e31819371b2
Access rights Closed access
Type Review
Web of Science ID WOS:000262574800020
URI http://repositorio.unifesp.br/handle/11600/31207

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