Carrillo ER, Sosa GJO

Language: Spanish
References: 26
Page: 3-10
PDF size: 199.42 Kb.

ABSTRACT

Introduction: The measuring of intra-abdominal pressure (IAP) is a new follow-up modality in the critical patient since its increase is related to the development of intra-abdominal hypertension (IAH) and the abdominal compartment syndrome (ACS), the latter also associated to a significant increase in morbidity and mortality. Recent advances in the knowledgeof ACS physiopathology have had a high impact on the early diagnosis of ACS and on implementing different therapeutic alternatives from a non-invasive approach to decompressive laparotomy.
Case: A 57 year-old patient was laparotomized due to intestinal perforation with septic shock. The patient developed IAH that led to ACS with pulmonary and renal dysfunction which improved with decompressive laparotomy.
Conclusion: IAP measurement is a useful tool for the early diagnosis and treatment of IAH and ACS, thus preventing complications. The aim of this report is to update practitioners on the importance of IAH and ACS in critical patients.

REFERENCES

1. Kron IL, Harman PK, Nolan SP. The measurement of intraabdominal pressure as a criterion for abdominal re-exploration. Ann Surg. 1984;199:28-30.

2. Sugrue M. Abdominal compartment syndrome. Curr Opin Crit Care. 2005;11:333-8.

3. Cheatham ML, Safcsak K, Llerena LE, Morrow CE Jr, Block EF. Long-term physical, mental, and functional consequences of abdominal decompression. J Trauma. 2004;56:237-41.

4. Sugerman HJ. Effects of increased intra-abdominal pressure in severe obesity. Surg Clin North Am. 2001;81:1063-75.

5. Cheatham M, Malbrain M. Cardiovascular implications of elevated intra-abdominal pressure. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M, editors. Abdominal compartment syndrome.Landes Bioscience, Georgetown 2006; pp 89-104.

6. Malbrain ML, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri VM, et al. Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med. 2005;33:315-22.

7. Malbrain ML, Chiumello D, Pelosi P, Wilmer A, Brienza N, Malcangi V, et al. Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med. 2004;30:822-9.

8. Malbrain ML. Is it wise not to think about intraabdominal hypertension in the ICU? Curr Opin Crit Care 2004;10:132-45.

9. McNelis J, Marini CP, Jurkiewicz A, Fields S, Caplin D, Stein D, Ritter G, Nathan I, Simms HH. Predictive factors associated with the development of abdominal compartment syndrome in the surgical intensive care unit. Arch Surg. 2002;137:133-6.

10. Tiwari A, Myint F, Hamilton G. Recognition and management of abdominal compartment syndrome in the United Kingdom. Intensive Care Med. 2006;32:906-9.

11. Balogh Z, Moore FA, Goettler CE, Rotondo MF, Schwab CW, Kaplan MJ. Management of abdominal compartment syndrome. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds.) Abdominal compartment syndrome. Landes Bioscience, Georgetown, 2006; pp 264-94.

12. Fietsam R Jr, Villalba M, Glover JL, Clark K. Intra-abdominal compartment syndrome as a complication of ruptured abdominal aortic aneurysm repair. Am Surg. 1998;55:396-402.

13. Malbrain ML. Abdominal pressure in the critically ill: measurement nd clinical relevance. Intensive Care Med. 1999; 25:1453-8.

14. Malbrain ML. Abdominal pressure in the critically ill. Curr Opin Crit Care. 2000;6:17-29.

15. Drummond GB, Duncan MK. Abdominal pressure during laparoscopy: effects of fentanyl. Br J Anaesth. 2002;88: 384-8.

16. De Waele J, Delaet I, Hoste E, Verholen E, Blot S. The effect of neuromuscular blockers on intraabdominal pressure. Crit Care Med. 2006;34:A70.

17. Madl C, Druml W. Gastrointestinal disorders of the critically ill. Systemic consequences of ileus. Best Pract Res Clin Gastroenterol. 2003;17:445-56.

18. Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Valdivia A, Sailors RM, Moore FA. Supranormal trauma resuscitation causes more cases of abdominal compartment syndrome. Arch Surg. 2003;138:637-42.

19. Kula R, Szturz P, Sklienka P, Neiser J, Jahoda J. A role for negative fluid balance in septic patients with abdominal compartment syndrome? Intensive Care Med. 2004;30: 2138-9.

20. Reckard JM, Chung MH, Varma MK, Zagorski SM. Management of intraabdominal hypertension by percutaneous catheter drainage. J Vasc Interv Radiol. 2005;16:1019-21.

21. Cheatham ML, Safcsak K, Llerena LE, Morrow CE, Block EFJ. Longterm physical, mental, and functional consequences of abdominal decompression. J Trauma. 2004;56:237- 42.

22. Wittmann DH, Aprahamian C, Bergstein JM, Edmiston CE, Frantzides CT, Quebbeman EJ, Condon RE. A burrlike device to facilitate temporary abdominal closure in planned multiple laparotomies. Eur J Surg. 1993;159:75-9.

23. Block EFJ, Cheatham ML. Closing the abdomen that won’t close. In: Cameron JL (ed.) Current surgical therapy, 6th edn. Mosby, St. Louis 2001; pp 1129-35.

24. Cheatham ML. Abdominal compartment syndrome. Current Opinion in Critical Care. 2009;15:154-62.