• Rebecca Allen and Babak Sarani.
• Department of Surgery George Washington University, Center for Trauma and Critical Care, Washington, District of Colombia, USA.
• Curr Opin Crit Care. 2020 Apr 1; 26 (2): 192-196.

Purpose Of ReviewThe purpose of this review is to provide an overview of the pathophysiology of intraabdominal hypertension/compartment syndrome and to review the recent advances in the areas of evaluation and management of this disorder.Recent FindingsThe incidence of intraabdominal hypertension (IAH) in intensive care units is as high as 45%, an incidence much higher than initially suspected. Despite decompressive laparotomy as a treatment, mortality in patients who developed abdominal compartment syndrome (ACS) requiring this procedure is as high as 50%. Some patients may be treated by fewer invasive methods, such as paracentesis, thereby avoiding the morbidity of laparotomy. Protective lung ventilation is key to managing the pulmonary sequalae of ACS. Point-of-care ultrasound can be used as an adjunctive decision-making tool.SummaryIAH is common in critically ill patients and portends a high mortality rate. Prevention and early recognition are key in minimizing adverse events.

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