Abdominal Compartment Syndrome

Résumé fourni par la source

Abstract Abdominal compartment syndrome (ACS) is defined as sustained intra-abdominal pressure (IAP) greater than 20 mm Hg that is associated with new-onset organ dysfunction. IAP is usually estimated by measuring bladder pressure with a Foley catheter when the patient is completely relaxed or paralyzed. A series of measurements over time is often more useful than a single measurement. ACS can be managed temporarily with various ancillary maneuvers. Decompressive laparotomy is the definitive management approach and should be considered for patients with sustained pressures of 20 to 25 mm Hg and evidence of organ dysfunction after receiving less-aggressive treatments. Negative pressure wound therapy can be an effective adjunct to assist with abdominal closure, but it must be used with care to avoid inadvertently increasing IAP.

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