Abdominal compartment syndrome in critically ill patients

Intra-abdominal hypertension can have severe consequences, including abdominal compartment syndrome, which can contribute to multi-organ failure. An increase in intra-abdominal hypertension is influenced by factors such as diminished abdominal wall compliance, increased intraluminal content, and cer...

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Main Authors: Hyunseok Jang, Naa Lee, Euisung Jeong, Yunchul Park, Younggoun Jo, Jungchul Kim, Dowan Kim
Format: Article
Language:English
Published: Korean Society of Critical Care Medicine 2023-11-01
Series:Acute and Critical Care
Subjects:
Online Access:http://www.accjournal.org/upload/pdf/acc-2023-01263.pdf
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author Hyunseok Jang
Naa Lee
Euisung Jeong
Yunchul Park
Younggoun Jo
Jungchul Kim
Dowan Kim
author_facet Hyunseok Jang
Naa Lee
Euisung Jeong
Yunchul Park
Younggoun Jo
Jungchul Kim
Dowan Kim
author_sort Hyunseok Jang
collection DOAJ
description Intra-abdominal hypertension can have severe consequences, including abdominal compartment syndrome, which can contribute to multi-organ failure. An increase in intra-abdominal hypertension is influenced by factors such as diminished abdominal wall compliance, increased intraluminal content, and certain systemic conditions. Regular measurement of intra-abdominal pressure is essential, and particular attention must be paid to patient positioning. Nonsurgical treatments, such as decompression of intraluminal content using a nasogastric tube, percutaneous drainage, and fluid balance optimization, play crucial roles. Additionally, point-of-care ultrasonography aids in the diagnosis and treatment of intra-abdominal hypertension. Emphasizing the importance of regular measurements, timely decompressive laparotomy is a definitive, but complex, treatment option. Balancing the urgency of surgical intervention against potential postoperative complications is challenging.
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spelling doaj.art-be04a22851be40f2905e0628f5cf9bda2024-02-15T04:08:23ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602023-11-0138439940810.4266/acc.2023.012631497Abdominal compartment syndrome in critically ill patientsHyunseok Jang0Naa Lee1Euisung Jeong2Yunchul Park3Younggoun Jo4Jungchul Kim5Dowan Kim6 Division of Trauma, Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Division of Trauma, Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Division of Trauma, Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Division of Trauma, Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Division of Trauma, Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Division of Trauma, Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, KoreaIntra-abdominal hypertension can have severe consequences, including abdominal compartment syndrome, which can contribute to multi-organ failure. An increase in intra-abdominal hypertension is influenced by factors such as diminished abdominal wall compliance, increased intraluminal content, and certain systemic conditions. Regular measurement of intra-abdominal pressure is essential, and particular attention must be paid to patient positioning. Nonsurgical treatments, such as decompression of intraluminal content using a nasogastric tube, percutaneous drainage, and fluid balance optimization, play crucial roles. Additionally, point-of-care ultrasonography aids in the diagnosis and treatment of intra-abdominal hypertension. Emphasizing the importance of regular measurements, timely decompressive laparotomy is a definitive, but complex, treatment option. Balancing the urgency of surgical intervention against potential postoperative complications is challenging.http://www.accjournal.org/upload/pdf/acc-2023-01263.pdfcritical careintra-abdominal hypertensionmultiple organ failure
spellingShingle Hyunseok Jang
Naa Lee
Euisung Jeong
Yunchul Park
Younggoun Jo
Jungchul Kim
Dowan Kim
Abdominal compartment syndrome in critically ill patients
Acute and Critical Care
critical care
intra-abdominal hypertension
multiple organ failure
title Abdominal compartment syndrome in critically ill patients
title_full Abdominal compartment syndrome in critically ill patients
title_fullStr Abdominal compartment syndrome in critically ill patients
title_full_unstemmed Abdominal compartment syndrome in critically ill patients
title_short Abdominal compartment syndrome in critically ill patients
title_sort abdominal compartment syndrome in critically ill patients
topic critical care
intra-abdominal hypertension
multiple organ failure
url http://www.accjournal.org/upload/pdf/acc-2023-01263.pdf
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