>Cirugía y Cirujanos
>Year 2012, Issue 6
Carrillo-Esper R, Sosa-García JO, Carrillo-Córdova JR, Leyva-Mondragón C
Syndrome of abdominal compartment in trauma
Cir Cir 2012; 80 (6)
PDF: 178.42 Kb.
[Full text - PDF]
Background: the intra-abdominal hypertension is defined as an increase in intra-abdominal pressure more or equal as ≥ 12 mmHg and it is called as abdominal compartment syndrome when associates with any organ dysfunction. Its development in the patient with multiple trauma is the result of the mechanism of injury, aggressive resuscitation and/or surgical treatment. The goal of this investigation is to describe the monitoring and all decisions made to take based on the measurement of intra-abdominal pressure in a patient with multiple injuries that developed abdominal compartment syndrome.
Clinical case: 21 years old male with multiple trauma who underwent damage control surgery with splenectomy, repair of liver injury and packaging. intra-abdominal pressure monitoring showed progressive increase that was associated with cardiopulmonary dysfunction resistant to medical treatment so decided to unpack which reduced the intra-abdominal pressure and improved cardiopulmonary fitness.
Conclusions: intra-abdominal hypertension/abdominal compartment syndrome significantly increases morbidity and mortality therefore the measurement of intra-abdominal pressure is a fundamental tool for early detection and timely management of this condition and its complications.
||intra-abdominal pressure, intra-abdominal hypertension, abdominal compartment syndrome, trauma.
Balogh Z, McKinley BA, Cox Jr CS, Allen SJ, Cocanour CS, Kozar RA, et al. Abdominal compartment syndrome: the cause or effect of postinjury multiple organ failure. Shock 2003;20(6):483-492.
Ivatury RR. Abdominal compartment syndrome: A century later, isn’t it time to accept and promulgate? Crit Care Med 2006;34(9):2494- 2495.
Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Holcomb JB, Ware DN, et al. Secondary abdominal compartment syndrome is an elusive early complication of traumatic shock resuscitation. Am J Surg 2002;184(6):538-543.
Fietsam R Jr, Villalba M, Glover JL, Clark K. Intra-abdominal compartment syndrome as a complication of ruptured abdominal aortic aneurysm repair. Am Surg 1989;55(6):396-402.
Balogh Z, McKinley BA, Holcomb JB, Miller CC, Cocanour CS, Kozar RA, et al. Both primary and secondary abdominal compartment syndrome can be predicted early and are harbingers of multiple organ failure. J Trauma 2003;54(5):859-861.
Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med 2006;32(11):1722- 1732.
Cheatham ML, Malbrain ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations. Intensive Care Med 2007;33(6):951-962.
Schein M, Wittmann DH, Aprahamian CC, Condon RE. The abdominal compartment syndrome: the physiological and clinical consequences of elevated intra-abdominal pressure. J Am Coll Surg 1995;180(6):745-753.
Harrahill M. Intra-abdominal pressure monitoring. J Emerg Nurs 1998;24(5):465-466.
Saggi B, Sugerman H, Ivatury R, Bloomfield G. Abdominal compartment syndrome. J Trauma 1998;45:597-609.
Nebelkopf H. Abdominal compartment syndrome. Am J Nurs 1999;99:53-56.
Lozen Y. Intraabdominal hypertension and abdominal compartment syndrome in trauma: pathophysiology and interventions. AACN Clin Issues 1999;10(1):104-112.
Offner PJ, de Souza AL, Moore EE, Biffl WL, Franciose RJ, Johnson JL, et al. Avoidance of Abdominal Compartment Syndrome in Damage- Control Laparotomy After Trauma. Arch Surg 2001;36:676-681.
Fritsch DE, Steinmann RA. Managing trauma patients with abdominal compartment syndrome. Crit Care Nurse 2000;20(6):48-58.
Swartz C, Wick JM. Abdominal packs: alternatives available. Int J Trauma Nurs 2002;(1):18-20.
Diebel L, Saxe J, Dulchavsky S. Effect of intra-abdominal pressure on abdominal wall blood flow. Am Surg 1992;58(9):573-755.
Banasik J. Shock. In: Copstead L, Banasik J, eds. Pathophysiology: Biological and Behavioral Perspectives. 2nd ed. Philadelphia, Pa: WB Saunders Co, 2000 p. 482-501.
Towfigh S, Heisler T, Rigberg D, Hines OJ, Chu J, McFadden DW, et al. Intestinal Ischemia and the Gut-Liver Axis: An in Vitro Model. J Surg Res 2000;88(2):160-164.
Diebel L, Dulchavsky S, Brown WJ. Splanchnic Ischemia and Bacterial Translocation in the Abdominal Compartment Syndrome. J Trauma 1997;43(5):852-855.
Moore FA. The role of the gastrointestinal tract in postinjury multiple organ failure. Am J Surg 1999;178(6):449-453.
Meldrum DR, Cleveland JC Jr, Moore EE, Partrick DA, Banerjee A, Harken AH. Adaptive and maladaptive mechanisms of cellular priming. Ann Surg 1997;226(5):587-598.
Lee CC, Marill KA, Carter WA, Crupi RS. A current concept of trauma-induced multiorgan failure. Ann Emerg Med 2001;38(2):170- 176.
Nayduch DA, Sullivan K, Reed RN. Abdominal compartment syndrome. J Trauma Nurs 1997;4:5-11.
Mayberry JC, Mullins RJ, Crass RA, Trunkey DD. Prevention of Abdominal Compartment Syndrome by Absorbable Mesh Prosthesis Closure. Arch Surg 1997;132(9):957-962.
Ivy ME, Possenti PP, Kepros J, Atweh NA, D’Aiuto M, Pahner J, et al. Abdominal Compartment Syndrome in Patients With Burns. J Burn Care Rehabil 1999;20(59:351-353.
Ivatury R, Diebel L, Porter JM, Simon RJ. Intra-abdominal hypertension and the abdominal compartment syndrome. Surg Clin North Am 1997;77(4):783-800.
Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Valdivia A, Sailors RM, et al. Supranormal Trauma Resuscitation Causes More Cases of Abdominal Compartment Syndrome. Arch Surg 2003;138:637-643.
Vachharajani V, Scott LK, Grier L, Conrad S. Medical Management Of Severe Intra-abdominal Hypertension With Aggressive Diuresis And Continuous Ultra-filtration. Internet J Emerg Intensive Care Med 2003;6.
Hong JJ, Cohn SM, Perez JM, Dolich MO, Brown M, McKenney MG. Prospective study of the incidence and outcome of intraabdominal hypertension and the abdominal compartment syndrome. Br J Surg 2002;89(5):591-596.
Balogh Z, Moore FA, Goettler CE, Rotondo MF, Schwab CW, Kaplan MJ. Surgical management of abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown 2006 p. 266-296.
>Cirugía y Cirujanos
>Year 2012, Issue 6