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...
Main Authors: | , , , , , , |
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Format: | Article |
Language: | English |
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Korean Society of Critical Care Medicine
2023-11-01
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Series: | Acute and Critical Care |
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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. |
first_indexed | 2024-03-08T00:51:20Z |
format | Article |
id | doaj.art-be04a22851be40f2905e0628f5cf9bda |
institution | Directory Open Access Journal |
issn | 2586-6052 2586-6060 |
language | English |
last_indexed | 2024-03-08T00:51:20Z |
publishDate | 2023-11-01 |
publisher | Korean Society of Critical Care Medicine |
record_format | Article |
series | Acute and Critical Care |
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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