Abdominal Compartment SyndromeRao Ivatury First suggested in 1863 by Marey, abdominal compartment syndrome, (ACS), is a constellation of the physiologic sequelae of increased intra-abdominal pressure, (IAP), termed intra-abdominal hypertension, (IAH). Recent observations suggest an increasing frequency of this complication in all types of patients, neonates to the elderly and in diverse clinical conditions, surgical to non-surgical. Even chronic elevations of IAP seem to effect the various organ systems in the body. Despite its obvious clinical implications, not enough attention is paid to IAP and IAH. ACS is still not uniformly appreciated or diagnosed. Only a few medical and surgical intensivists believe in the concept of IAH and actively attempt its prevention and treatment. The result, as is strongly substantiated by retrospective and prospective data, is a successful reduction in organ failures and mortality. Abdominal compartment syndrome is a condition that, until recently, has been poorly appreciated, despite important potential implications for all organ systems. Recent interest has helped clarify the local and systemic effects of increased intra-abdominal pressure and heightened awareness of the importance of early recognition and treatment. This book, written by international experts in the field, follows the first World Congress on Abdominal Compartment Syndrome held in Noosa, Australia in December 2004, and provides an excellent update on this topical subject. Comprehensively constructed, this book covers all key aspects of the syndrome, from definitions and diagnosis to monitoring and management, and is supported throughout by appropriate and ample illustrations. Many of the detrimental consequences of abdominal compartment syndrome are reversible with appropriate and timely intervention, and, although many questions remain unanswered regarding this condition, this book provides a welcome and detailed source of current information and opinion on abdominal compartment syndrome, which will be helpful to all health care practitioners, and ultimately to their patients. This book covers every aspect of the abdominal compartment syndrome, including diagnosis, complications, management, and prevention. To date, there is nothing comparable. This is a landmark contribution to the literature regarding this condition. |
Contents
Definitions | 8 |
IntraAbdominal Pressure Measurement Techniques | 19 |
Scott Damoursswsahs nsw gov | 66 |
Copyright | |
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20 mm Hg abdominal compartment syndrome abdominal decompression abdominal perfusion pressure abdominal pressure abdominal wall acute pancreatitis Arch Surg arterial Balogh bladder pressure blood flow bowel burn cardiac output catheter clinical cm H2O compartment syndrome ACS compliance correlation Crit critically ill patients crystalloid decreased edema effects elevated IAP elevated intra-abdominal pressure end-diastolic volume end-expiratory fluid resuscitation Foley catheter gastric hemodynamic hemorrhage IAH and ACS IAH/ACS IAP measurement IAP monitoring increased IAP increased intra-abdominal pressure Intensive intra-abdominal pressure IAP intracranial intrathoracic Ivatury RR laparoscopic laparotomy liver lung injury Malbrain ML mechanical ventilation mesenteric mesh Michael Sugrue mm Hg Moore EE mortality multiple organ failure NEXAP obesity open abdomen organ dysfunction oxygen patients with IAH physiologic pneumoperitoneum preload pressure transducer pulmonary renal function respiratory result risk RVEDVI RVEF Secondary abdominal compartment secondary ACS sepsis stopcock surgical technique tubing urinary venous