Abdominal compartment syndrome among surgical patients

作     者：Monica Leon Luis Chavez Salim Surani 

作者机构：Department of MedicineCentro Medico ABCCiudad de Mexico 01120Mexico Department of MedicineUniversity of TexasEl PasoTX 79905United States Department of MedicineTexas A&M UniversityCorpus ChristiTX 78405United States 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2021年第13卷第4期

页      面：330-339页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Intra-abdominal hypertension Abdominal compartment syndrome Intraabdominal pressure Open abdomen treatment Multiple organ failure Surgical decompression 

摘      要：Abdominal compartment syndrome(ACS)develops when organ failure arises secondary to an increase in intraabdominal *** abdominal pressure is determined by multiple factors such as blood pressure,abdominal compliance,and other factors that exert a constant pressure within the abdominal *** conditions in the critically ill may increase abdominal pressure compromising organ perfusion that may lead to renal and respiratory *** surgical and trauma patients,aggressive fluid resuscitation is the most commonly reported risk factor to develop *** conditions that have also been identified as risk factors are ascites,hemoperitoneum,bowel distention,and large *** patients with abdominal trauma possess a higher risk of developing intra-abdominal hypertension(IAH).Certain surgical interventions are reported to have a higher risk to develop IAH such as damage control surgery,abdominal aortic aneurysm repair,and liver transplantation among *** monitoring of organ function and intra-abdominal pressure(IAP)allows clinicians to diagnose ACS rapidly and intervene with target-specific management to reduce *** decompression followed by temporary abdominal closure should be considered in all patients with signs of organ *** is still a great need for more studies to determine the adequate timing for interventions to improve patient outcomes.