RT Book, Section
A1 Schlichting, Adam
A1 Schmidt, Gregory A.
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Kress, John P.
SR Print(0)
ID 1107712577
T1 Abdominal Compartment Syndrome
T2 Principles of Critical Care, 4e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071738811
LK accesssurgery.mhmedical.com/content.aspx?aid=1107712577
RD 2024/04/20
AB Abdominal  compartment  syndrome  (ACS)  is  caused  by  an  acute  increase  in  intra-abdominal  pressure  resulting  from  a  number  of  medical  and  surgical  conditions.Abdominal  compartment  syndrome  and  intra-abdominal  hypertension  are  often  unrecognized  causes  of  organ  dysfunction  in  critically  ill  patients.The  reference  standard  for  measurement  of  intra-abdominal  pressure  is  via  bladder  catheter  using  a  standardized  protocol.Primary  ACS  results  from  direct,  abdominopelvic  pathology,  whereas  secondary  ACS  does  not.By  elevating  the  diaphragm  and  decreasing  respiratory  system  compliance,  ACS  causes  a  restrictive  respiratory  defect.  However,  ACS  affects  a  number  of  other  organs,  especially  the  kidneys,  and  may  cause  multiorgan  system  failure.Diagnosis  relies  on  maintaining  a  high  degree  of  clinical  suspicion,  measurement  of  intra-abdominal  bladder  pressure,  and  identification  of  organ  dysfunction.The  abdomen  should  be  decompressed  before  critical  organ  dysfunction  develops.Failure  to  recognize  and  treat  ACS  portends  a  poor  prognosis.