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Abdominal compartment syndrome in critically ill patients
- Source :
- Acute and Critical Care, Vol 38, Iss 4, Pp 399-408 (2023)
- Publication Year :
- 2023
- Publisher :
- Korean Society of Critical Care Medicine, 2023.
-
Abstract
- 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.
Details
- Language :
- English
- ISSN :
- 25866052 and 25866060
- Volume :
- 38
- Issue :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- Acute and Critical Care
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.be04a22851be40f2905e0628f5cf9bda
- Document Type :
- article
- Full Text :
- https://doi.org/10.4266/acc.2023.01263