• Critical care clinics · Apr 2016

    Review

    Abdominal Compartment Hypertension and Abdominal Compartment Syndrome.

    • Patrick Maluso, Jody Olson, and Babak Sarani.
    • Department of Surgery, George Washington University, 2150 Pennsylvania Avenue, Northwest, Suite 6B, Washington, DC 20037, USA.
    • Crit Care Clin. 2016 Apr 1; 32 (2): 213-22.

    AbstractIntra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are rare but potentially morbid diagnoses. Clinical index of suspicion for these disorders should be raised following massive resuscitation, abdominal wall reconstruction/injury, and in those with space-occupying disorders in the abdomen. Gold standard for diagnosis involves measurement of bladder pressure, with a pressure greater than 12 mm Hg being consistent with IAH and greater than 25 mm Hg being consistent with ACS. Decompressive laparotomy is definitive therapy but paracentesis can be equally therapeutic in properly selected patients. Left untreated, ACS can lead to multisystem organ failure and death.Copyright © 2016 Elsevier Inc. All rights reserved.

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