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Titolo:
Acute abdominal compartment syndrome in the critically ill
Autore:
Saggi, BH; Sugerman, HJ; Ivatury, RR; Bloomfield, GL;
Indirizzi:
Virginia Commonwealth Univ, Med Coll Virginia, Dept Surg, Gen Trauma Surg Div, Richmond, VA 23298 USA Virginia Commonwealth Univ Richmond VA USA 23298 , Richmond, VA 23298 USA
Titolo Testata:
JOURNAL OF INTENSIVE CARE MEDICINE
fascicolo: 5, volume: 14, anno: 1999,
pagine: 207 - 219
SICI:
0885-0666(199909/10)14:5<207:AACSIT>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
INCREASED INTRAABDOMINAL PRESSURE; INDUCED WEIGHT-LOSS; LAPAROSCOPIC CHOLECYSTECTOMY; INTRACRANIAL-PRESSURE; CARBON-DIOXIDE; RENAL-FUNCTION; WALL DEFECTS; BLOOD-FLOW; PLANNED REOPERATION; VOLUME EXPANSION;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
112
Recensione:
Indirizzi per estratti:
Indirizzo: Sugerman, HJ Virginia Commonwealth Univ, Med Coll Virginia, Dept Surg, GenTrauma Surg Div, Box 980519, Richmond, VA 23298 USA Virginia Commonwealth Univ Box 980519 Richmond VA USA 23298 A
Citazione:
B.H. Saggi et al., "Acute abdominal compartment syndrome in the critically ill", J INTENS C, 14(5), 1999, pp. 207-219

Abstract

Acute abdominal compartment syndrome (ACS) is a clinical entity that develops from a progressive, acute increase in pressure within the confined space of the abdominal cavity from a multitude of etiologies. This increase in intra-abdominal pressure (IAP) impacts multiple organ systems in a graded fashion due to differential susceptibilities. While the classic renal, pulmonary, and cardiovascular signs are seen with marked elevations in IAP, we now know that the gut is most sensitive to increases in IAP and develops evidence of endorgan damage earlier in the development of ACS. Furthermore, intracranial derangements with ACS are now well described. Treatment involvesexpedient decompression of the abdomen, without which the syndrome of end-organ damage and reduced oxygen delivery may lead to the development of multiple organ failure and ultimately death. The scenarios of multiple trauma,hemorrhage with massive volume resuscitation, and/or protracted operation are where ACS is most frequently encountered. However, knowledge of ACS is also essential for the management of critically ill pediatric patients and intensive care patients with acute medical illnesses. The role of intra-abdominal hypertension (IAH) in the etiology of necrotizing enterocolitis, central obesity comorbidities, and preeclampsia/eclampsia remains to be fully elucidated. This article reviews the experimental background, organ system pathophysiology, diagnosis, and treatment of ACS with emphasis on the latest concepts in the literature as they apply to critically ill patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 05:50:14