Arellano RA, Enríquez JE, Gasca LGA, Silva LLM, de León TD, Castellanos CL

Language: Spanish
References: 12
Page: 46-50
PDF size: 236.02 Kb.

ABSTRACT

The abdominal compartment syndrome is a complex entity characterized by intra-abdominal hypertension with intra-abdominal pressure greater than 20 mmHg (with or without abdominal perfusion pressure of less than 60 mmHg) that is associated with a new organ dysfunction. Several factors related including resuscitation massive, prolonged states of shock, acidosis, abdominal pathologies, sepsis, and mechanical ventilation with high levels of PEEP. Is a common complication in critically ill patients and diagnosed or not treated promptly it can evolve to multiple organ dysfunction resulting increase in the length of stay in the Unit Care Intensive, increased consumption of economic, technological and human resources until the death of patient.
The last international consensus for diagnosis and treatment of intra-abdominal hypertension and abdominal compartment syndrome published in 2013 recommended to measure intra-abdominal pressure in all patients with risk factors for developing of intra-abdominal hypertension/abdominal compartment syndrome (Grade 1C) and begin immediate treatment and therapeutic goals guided by multidisciplinary collaboration.

REFERENCES

1. Ordóñez C, Ramos LG, Buchelli V. Guía de manejo de hipertensión intraabdominal y síndrome de compartimiento abdominal. México: Universidad del Valle, Facultad de Ciencias de la Salud. Departamento de Cirugía; 2006.

2. Olvera Guzmán C, Elizalde González J, Martínez Sánchez J. Hipertensión intraabdominal: concepto y técnica de medición. 2005;50(1):39-42.

3. Ballesteros-Flores CG, Sánchez–Aparicio HE. Hipertensión intraabdominal y síndrome compartimental abdominal asociado a falla renal aguda. 2006;69(3):160-163.

4. Kirkpatrick AW, Roberts D, et al. Intra-abdomial hypertension and the abdominal compartment syndrome updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med, 2013;39:1190-1206.

5. 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):951-62.

6. De Laet IE, Malbrain M. Current insights in intra-abdominal hypertension and abdominal compartment syndrome. Med Intensive. 2007;31(2): 88-99.

7. Lui F, Ayodele S, Lewis J. Abdominal compartment syndrome: clinical aspects and monitoring. Crit Care Clin. 2007; 23: 415-443.

8. Baltazar-Torres JA, Sánchez-Hurtado LA. Prevalencia de hipertensión intraabdominal y síndrome compartimental abdominal en pacientes críticamente enfermos. Revista de la Asociación Mexicana de Medicina Crítica y Terapia Intensiva. 2010;14(1):34-35.

9. Carrillo Esper R, Ojino J. Presión intraabdominal: su importancia en la práctica clínica. Med Int Mex. 2010;26(1):48-62.

10. An G, West MA. Abdominal compartment syndrome: A concise clinical review. Crit Care Med. 2008;36(4):1304-1310.

11. Vidal MG, Ruiz Weisser J, González F. Incidence and clinical effects of intra-abdominal hypertension in critically ill patients. Crit Care Med. 2008;36(6):1823-1831.

12. Cheatham ML, Safcsak K. Is the evolving management of intra-abdominal hypertension and abdominal compartment syndrome improving survival? Crit Care Med. 2010;38(2):402-407.