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Langenbeck's Archives of Surgery

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01.11.2008 | Current Concepts in Clinical Surgery

Current insights in intra-abdominal hypertension and abdominal compartment syndrome: open the abdomen and keep it open!

verfasst von: Inneke E. De laet, Mariska Ravyts, Wesley Vidts, Jody Valk, Jan J. De Waele, Manu L. N. G. Malbrain

Erschienen in: Langenbeck's Archives of Surgery | Ausgabe 6/2008

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Abstract

Background and aims

The abdominal compartment syndrome (ACS) is associated with organ dysfunction and mortality in critically ill patients. Furthermore, the deleterious effects of increased IAP have been shown to occur at levels of intra-abdominal pressure (IAP) previously deemed to be safe. The aim of this article is to provide an overview of all aspects of this underrecognized pathological syndrome for surgeons.

Methods and contents

This review article will focus primarily on the recent literature on ACS as well as the definitions and recommendations published by the World Society for the Abdominal Compartment Syndrome. The definitions regarding increased IAP will be listed, followed by a brief but comprehensive overview of the different mechanisms of organ dysfunction associated with intra-abdominal hypertension (IAH). Measurement techniques for IAP will be discussed, as well as recommendations for organ function support in patients with IAH. Finally, surgical treatment and management of the open abdomen are briefly discussed, as well as some minimally invasive techniques to decrease IAP.

Conclusions

The ACS was first described in surgical patients with abdominal trauma, bleeding, or infection, but in recent years ACS has also been described in patients with other pathologies such as burn injury and sepsis. Some of these so-called nonsurgical patients will require surgery to treat their ACS. This review article is intended to provide surgeons with a clear insight into the current state of knowledge regarding IAH, ACS, and the impact of IAP on the critically ill patient.

Malbrain ML, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri VM et al (2005) Incidence and prognosis of intra-abdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med 33:315–322PubMed

Malbrain ML, Chiumello D, Pelosi P, Wilmer A, Brienza N, Malcangi V et al (2004) Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med 30:822–829PubMed

Schein M (2006) Abdominal compartment syndrome: historical background. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 1–7

Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J et al (2006) Results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. I. Definitions. Intensive Care Med 32:1722–1732PubMed

Sanchez NC, Tenofsky PL, Dort JM, Shen LY, Helmer SD, Smith RS (2001) What is normal intra-abdominal pressure? AmSurg 67:243–248

Sugerman H, Windsor A, Bessos M, Wolfe L (1997) Intra-abdominal pressure, sagittal abdominal diameter and obesity comorbidity. J Intern Med 241:71–79PubMed

Sugerman HJ (2001) Effects of increased intra-abdominal pressure in severe obesity. Surg Clin North Am 81:1063–1075 viPubMed

Hamad GG, Peitzman AB (2006) Morbid obesity and chronic intra-abdominal hypertension. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 187–194

Davis PJ, Koottayi S, Taylor A, Butt WW (2005) Comparison of indirect methods of measuring intra-abdominal pressure in children. Intensive Care Med, 31:471–475

10.

Malbrain ML (2004) Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal. Intensive Care Med 30:357–371PubMed

11.

Sugrue M, Buist MD, Hourihan F, Deane S, Bauman A, Hillman K (1995) Prospective study of intra-abdominal hypertension and renal function after laparotomy. Br J Surg 82:235–238PubMed

12.

Sugrue M, Hallal A, D'Amours S (2006) Intra-abdominal pressure hypertension and the kidney. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 119–128

13.

De Laet I, Malbrain ML, Jadoul JL, Rogiers P, Sugrue M (2007) Renal implications of increased intra-abdominal pressure: are the kidneys the canary for abdominal hypertension. Acta Clin Belg 62(Suppl 1):119–130

14.

Ivatury RR, Cheatham ML, Malbrain ML, Sugrue M (2006) Abdominal compartment syndrome. Landes Bioscience, Georgetown

15.

Raeburn CD, Moore EE (2006) Abdominal compartment syndrome provokes multiple organ failure: animal and human supporting evidence. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 157–169

16.

Kirkpatrick AW, Brenneman FD, McLean RF, Rapanos T, Boulanger BR (2000) Is clinical examination an accurate indicator of raised intra-abdominal pressure in critically injured patients? Can J Surg 43:207–211PubMed

17.

Sugrue M, Bauman A, Jones F, Bishop G, Flabouris A, Parr M et al (2002) Clinical examination is an inaccurate predictor of intra-abdominal pressure. World J Surg 26:1428–1431PubMed

18.

Saggi B, Ivatury R, Sugerman HJ (2001) Surgical critical care issues: abdominal compartment syndrome. In: Holzheimer RG, Mannick JA (eds) Surgical treatment evidence-based and problem-oriented. W. Zuckschwerdt Verlag München, München

19.

Risin E, Kessel B, Ashkenazi I, Lieberman N, Alfici R (2006) A new technique of direct intra-abdominal pressure measurement: a preliminary study. Am J Surg 191:235–237PubMed

20.

Risin E, Kessel B, Lieberman N, Schmilovich M, Ashkenazi I, Alfici R (2006) New technique of direct intra-abdominal pressure measurement. Asian J Surg 29:247–250PubMed

21.

Kron IL, Harman PK, Nolan SP (1984) The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg 199:28–30PubMed

22.

Cheatham ML, Safcsak K (1998) Intra-abdominal pressure: a revised method for measurement. J Am Coll Surg 186:594–595PubMed

23.

Harrahill M (1998) Intra-abdominal pressure monitoring. J Emerg Nurs 24:465–466PubMed

24.

De Potter TJ, Dits H, Malbrain ML (2005) Intra- and interobserver variability during in vitro validation of two novel methods for intra-abdominal pressure monitoring. Intensive Care Med 31:747–751PubMed

25.

Malbrain ML, De Laet I, Viaene D, Schoonheydt K, Dits H (2007) In vitro validation of a novel method for continuous intra-abdominal pressure monitoring. Intensive Care Med 34(4):740–745PubMed

26.

Balogh Z, Jones F, D'Amours S, Parr M, Sugrue M (2004) Continuous intra-abdominal pressure measurement technique. Am J Surg 188:679–684PubMed

27.

Johna S, Taylor E, Brown C, Zimmerman G (1999) Abdominal compartment syndrome: does intra-cystic pressure reflect actual intra-abdominal pressure? A prospective study in surgical patients. Crit Care (Lond) 3:135–138

28.

Gudmundsson FF, Viste A, Gislason H, Svanes K (2002) Comparison of different methods for measuring intra-abdominal pressure. Intensive Care Med 28:509–514PubMed

29.

Malbrain ML, Deeren DH (2006) Effect of bladder volume on measured intravesical pressure: a prospective cohort study. Crit Care 10:R98PubMed

30.

De Waele J, Pletinckx P, Blot S, Hoste E (2006) Saline volume in transvesical intra-abdominal pressure measurement: enough is enough. Intensive Care Med 32:455–459PubMed

31.

Collee GG, Lomax DM, Ferguson C, Hanson GC (1993) Bedside measurement of intra-abdominal pressure (IAP) via an indwelling nasogastric tube: clinical validation of the technique. Intensive Care Med 19:478–480PubMed

32.

Sugrue M, Buist MD, Lee A, Sanchez DJ, Hillman KM (1994) Intra-abdominal pressure measurement using a modified nasogastric tube: description and validation of a new technique. Intensive Care Med 20:588–590PubMed

33.

Cheatham ML, White MW, Sagraves SG, Johnson JL, Block EF (2000) Abdominal perfusion pressure: a superior parameter in the assessment of intra-abdominal hypertension. J Trauma 49:621–626 discussion 6–7PubMed

34.

Malbrain ML (2002) Abdominal perfusion pressure as a prognostic marker in intra-abdominal hypertension. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin, pp 792–814

35.

Deeren D, Dits H, Malbrain MLNG (2005) Correlation between intra-abdominal and intracranial pressure in nontraumatic brain injury. Intensive Care Med 31:1577–15781PubMed

36.

Cheatham M, Malbrain M (2006) Abdominal perfusion pressure. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 69–81

37.

Malbrain ML, Deeren D, De Potter TJ (2005) Intra-abdominal hypertension in the critically ill: it is time to pay attention. Curr Opin Crit Care 11:156–171PubMed

38.

Cheatham M, Malbrain M (2006) Cardiovascular implications of elevated intra-abdominal pressure. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 89–104

39.

Kashtan J, Green JF, Parsons EQ, Holcroft JW (1981) Hemodynamic effect of increased abdominal pressure. J Surg Res 30:249–255PubMed

40.

Ridings PC, Bloomfield GL, Blocher CR, Sugerman HJ (1995) Cardiopulmonary effects of raised intra-abdominal pressure before and after intravascular volume expansion. J Trauma 39:1071–1075PubMed

41.

Richardson JD, Trinkle JK (1976) Hemodynamic and respiratory alterations with increased intra-abdominal pressure. J Surg Res 20:401–404PubMed

42.

Malbrain ML, Cheatham ML (2004) Cardiovascular effects and optimal preload markers in intra-abdominal hypertension. In: Vincent J-L (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin, pp 519–543

43.

Simon RJ, Friedlander MH, Ivatury RR, DiRaimo R, Machiedo GW (1997) Hemorrhage lowers the threshold for intra-abdominal hypertension-induced pulmonary dysfunction. J Trauma 42:398–403 discussion 4–5PubMed

44.

Burchard KW, Ciombor DM, McLeod MK, Slothman GJ, Gann DS (1985) Positive end expiratory pressure with increased intra-abdominal pressure. Surg Gynecol Obstet 161:313–318PubMed

45.

Pelosi P, Ravagnan I, Giurati G, Panigada M, Bottino N, Tredici S et al (1999) Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 91:1221–1231PubMed

46.

Sugrue M, D'Amours S (2001) The problems with positive end expiratory pressure (PEEP) in association with abdominal compartment syndrome (ACS). J Trauma 51:419–420PubMed

47.

Sussman AM, Boyd CR, Williams JS, DiBenedetto RJ (1991) Effect of positive end-expiratory pressure on intra-abdominal pressure. South Med J 84:697–700PubMed

48.

Bloomfield GL, Ridings PC, Blocher CR, Marmarou A, Sugerman HJ (1997) A proposed relationship between increased intra-abdominal, intrathoracic, and intracranial pressure. Crit Care Med 25:496–503PubMed

49.

Cheatham ML, Block EF, Nelson LD, Safcsak K (1998) Superior predictor of the hemodynamic response to fluid challenge in critically ill patients. Chest 114:1226–1227PubMed

50.

Cheatham ML, Nelson LD, Chang MC, Safcsak K (1998) Right ventricular end-diastolic volume index as a predictor of preload status in patients on positive end-expiratory pressure. Crit Care Med 26:1801–1806PubMed

51.

Schachtrupp A, Graf J, Tons C, Hoer J, Fackeldey V, Schumpelick V (2003) Intravascular volume depletion in a 24-hour porcine model of intra-abdominal hypertension. J Trauma 55:734–740PubMed

52.

Michard F, Alaya S, Zarka V, Bahloul M, Richard C, Teboul JL (2003) Global end-diastolic volume as an indicator of cardiac preload in patients with septic shock. Chest 124:1900–1908PubMed

53.

Michard F, Teboul JL (2002) Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest 121:2000–2008PubMed

54.

Duperret S, Lhuillier F, Piriou V, Vivier E, Metton O, Branche P et al (2007) Increased intra-abdominal pressure affects respiratory variations in arterial pressure in normovolaemic and hypovolaemic mechanically ventilated healthy pigs. Intensive Care Med 33:163–171PubMed

55.

Malbrain ML, De Laet I (2008) Functional haemodynamics during intra-abdominal hypertension: what to use and what not use. Acta Anaesthesiol Scand 52:576–577PubMed

56.

Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J et al (2004) Surviving sepsis campaign guidelines for management of severe sepsis and septic shock. Intensive Care Med 30:536–555PubMed

57.

Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B et al (2001) Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377PubMed

58.

Ranieri VM, Brienza N, Santostasi S, Puntillo F, Mascia L, Vitale N et al (1997) Impairment of lung and chest wall mechanics in patients with acute respiratory distress syndrome: role of abdominal distension. Am J Respir Crit Care Med 156:1082–1091PubMed

59.

Gattinoni L, Pelosi P, Suter PM, Pedoto A, Vercesi P, Lissoni A (1998) Acute respiratory distress syndrome caused by pulmonary and extrapulmonary disease. Different syndromes? Am J Respir Crit Care Med, 158:3–11

60.

Mutoh T, Lamm WJ, Embree LJ, Hildebrandt J, Albert RK (1991) Abdominal distension alters regional pleural pressures and chest wall mechanics in pigs in vivo. J Appl Physiol 70:2611–2618PubMed

61.

Mutoh T, Lamm WJ, Embree LJ, Hildebrandt J, Albert RK (1992) Volume infusion produces abdominal distension, lung compression, and chest wall stiffening in pigs. J Appl Physiol 72:575–582PubMed

62.

Quintel M, Pelosi P, Caironi P, Meinhardt JP, Luecke T, Herrmann P et al (2004) An increase of abdominal pressure increases pulmonary edema in oleic acid-induced lung injury. Am J Respir Crit Care Med 169:534–541PubMed

63.

Doty JM, Saggi BH, Blocher CR, Fakhry I, Gehr T, Sica D et al (2000) Effects of increased renal parenchymal pressure on renal function. J Trauma 48:874–877PubMed

64.

Doty JM, Saggi BH, Sugerman HJ, Blocher CR, Pin R, Fakhry I et al (1999) Effect of increased renal venous pressure on renal function. J Trauma 47:1000–1003PubMed

65.

Stone HH, Fulenwider JT (1977) Renal decapsulation in the prevention of post-ischemic oliguria. Ann Surg 186:343–355PubMed

66.

Le Roith D, Bark H, Nyska M, Glick SM (1982) The effect of abdominal pressure on plasma antidiuretic hormone levels in the dog. J Surg Res 32:65–69PubMed

67.

Hazebroek EJ, de Vos tot Nederveen Cappel R, Gommers D, van Gelder T, Weimar W, Steyerberg EW et al (2002) Antidiuretic hormone release during laparoscopic donor nephrectomy. Arch Surg 137:600–604PubMed

68.

Biancofiore G, Bindi L, Romanelli AM, Bisa M, Boldrini A, Consani G et al (2002) Renal failure and abdominal hypertension after liver transplantation: determination of critical intra-abdominal pressure. Liver Transpl 8:1175–1181PubMed

69.

Biancofiore G, Bindi ML, Romanelli AM, Bisa M, Boldrini A, Consani G et al (2003) Postoperative intra-abdominal pressure and renal function after liver transplantation. Arch Surg 138:703–706PubMed

70.

Sugrue M, Jones F, Deane SA, Bishop G, Bauman A, Hillman K (1999) Intra-abdominal hypertension is an independent cause of postoperative renal impairment. Arch Surg 134:1082–1085PubMed

71.

Ulyatt DB (1992) Elevated intra-abdominal pressure. Australian Anaes 1992:108–114

72.

Josephs LG, Este-McDonald JR, Birkett DH, Hirsch EF (1994) Diagnostic laparoscopy increases intracranial pressure. J Trauma 36:815–818 discussion 8–9PubMed

73.

Bloomfield GL, Ridings PC, Blocher CR, Marmarou A, Sugerman HJ (1996) Effects of increased intra-abdominal pressure upon intracranial and cerebral perfusion pressure before and after volume expansion. J Trauma 40:936–941 discussion 41–3PubMedCrossRef

74.

Citerio G, Vascotto E, Villa F, Celotti S, Pesenti A (2001) Induced abdominal compartment syndrome increases intracranial pressure in neurotrauma patients: a prospective study. Crit Care Med 29:1466–1471PubMed

75.

Ivatury R, Diebel L (2006) Intra-abdominal hypertension and the splanchnic bed. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 129–137

76.

Diebel LN, Dulchavsky SA, Brown WJ (1997) Splanchnic ischemia and bacterial translocation in the abdominal compartment syndrome. J Trauma 43:852–855PubMed

77.

Diebel LN, Dulchavsky SA, Wilson RF (1992) Effect of increased intra-abdominal pressure on mesenteric arterial and intestinal mucosal blood flow. J Trauma 33:45–48 discussion 8–9PubMedCrossRef

78.

Balogh Z, Moore FA (2006) Postinjury secondary abdominal compartment syndrome. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 170–177

79.

Doty JM, Oda J, Ivatury RR, Blocher CR, Christie GE, Yelon JA et al (2002) The effects of hemodynamic shock and increased intra-abdominal pressure on bacterial translocation. J Trauma 52:13–17PubMed

80.

Yagci G, Zeybek N, Kaymakcioglu N, Gorgulu S, Tas H, Aydogan MH et al (2005) Increased intra-abdominal pressure causes bacterial translocation in rabbits. J Chin Med Assoc 68:172–177PubMed

81.

Bauer JJ, Gelernt IM, Salky BA, Kreel I (1985) Is routine postoperative nasogastric decompression really necessary? Ann Surg 201:233–236PubMed

82.

Cheatham ML, Chapman WC, Key SP, Sawyers JL (1995) A meta-analysis of selective versus routine nasogastric decompression after elective laparotomy. Ann Surg 221:469–476PubMed

83.

Moss G, Friedman RC (1977) Abdominal decompression: increased efficiency by esophageal aspiration utilizing a new nasogastric tube. Am J Surg 133:225–228PubMed

84.

Gorecki PJ, Kessler E, Schein M (2000) Abdominal compartment syndrome from intractable constipation. J Am Coll Surg 190:371PubMed

85.

Malbrain ML (2000) Abdominal pressure in the critically ill. Curr Opin Crit Care 6:17–29

86.

Ponec RJ, Saunders MD, Kimmey MB (1999) Neostigmine for the treatment of acute colonic pseudo-obstruction. N Engl J Med 341:137–141PubMed

87.

Wilmer A, Dits H, Malbrain ML, Frans E, Tack J (1997) Gastric emptying in the critically ill—the way forward. Intensive Care Med 23:928–929PubMed

88.

van der Spoel JI, Oudemans-van Straaten HM, Stoutenbeek CP, Bosman RJ, Zandstra DF (2001) Neostigmine resolves critical illness-related colonic ileus in intensive care patients with multiple organ failure—a prospective, double-blind, placebo-controlled trial. Intensive Care Med 27:822–827PubMed

89.

Cabrera J, Falcon L, Gorriz E, Pardo MD, Granados R, Quinones A et al (2001) Abdominal decompression plays a major role in early postparacentesis haemodynamic changes in cirrhotic patients with tense ascites. Gut 48:384–389PubMed

90.

Corcos AC, Sherman HF (2001) Percutaneous treatment of secondary abdominal compartment syndrome. J Trauma 51:1062–1064PubMed

91.

Luca A, Feu F, Garcia-Pagan JC, Jimenez W, Arroyo V, Bosch J et al (1994) Favorable effects of total paracentesis on splanchnic hemodynamics in cirrhotic patients with tense ascites. Hepatology 20:30–33PubMed

92.

Reckard JM, Chung MH, Varma MK, Zagorski SM (2005) Management of intra-abdominal hypertension by percutaneous catheter drainage. J Vasc Interv Radiol 16:1019–1021PubMed

93.

Sugrue M (2005) Abdominal compartment syndrome. Curr Opin Crit Care 11:333–338PubMed

94.

Gottlieb A, Skrinska VA, O'Hara P, Boutros AR, Melia M, Beck GJ (1989) The role of prostacyclin in the mesenteric traction syndrome during anesthesia for abdominal aortic reconstructive surgery. Ann Surg 209:363–367PubMed

95.

Latenser BA, Kowal-Vern A, Kimball D, Chakrin A, Dujovny N (2002) A pilot study comparing percutaneous decompression with decompressive laparotomy for acute abdominal compartment syndrome in thermal injury. J Burn Care Rehabil 23:190–195PubMed

96.

Navarro-Rodriguez T, Hashimoto CL, Carrilho FJ, Strauss E, Laudanna AA, Moraes-Filho JP (2003) Reduction of abdominal pressure in patients with ascites reduces gastroesophageal reflux. Dis Esophagus 16:77–82PubMed

97.

De Laet I, Hoste E, Verholen E, De Waele JJ (2007) The effect of neuromuscular blockers in patients with intra-abdominal hypertension. Intensive Care Med 33:1811–1814PubMed

98.

Kimball EJ, Mone M (2005) Influence of neuromuscular blockade on intra-abdominal pressure. Crit Care Med 33:A38

99.

Friedlander MH, Simon RJ, Ivatury R, DiRaimo R, Machiedo GW (1998) Effect of hemorrhage on superior mesenteric artery flow during increased intra-abdominal pressures. J Trauma 45:433–489PubMed

100.

Agusti M, Elizalde JI, Adalia R, Cifuentes A, Fontanals J, Taura P (2000) Dobutamine restores intestinal mucosal blood flow in a porcine model of intra-abdominal hyperpressure. Crit Care Med 28:467–472PubMed

101.

O'Mara MS, Slater H, Goldfarb IW, Caushaj PF (2005) A prospective, randomized evaluation of intra-abdominal pressures with crystalloid and colloid resuscitation in burn patients. J Trauma 58:1011–1018PubMed

102.

Kula R, Szturz P, Sklienka P, Neiser J, Jahoda J (2004) A role for negative fluid balance in septic patients with abdominal compartment syndrome? Intensive Care Med 30:2138–2139PubMed

103.

Oda S, Hirasawa H, Shiga H, Matsuda K, Nakamura M, Watanabe E et al (2005) Management of intra-abdominal hypertension in patients with severe acute pancreatitis with continuous hemodiafiltration using a polymethyl methacrylate membrane hemofilter. Ther Apher Dial 9:355–361PubMed

104.

De Waele JJ, Hoste EA, Malbrain ML (2006) Decompressive laparotomy for abdominal compartment syndrome—a critical analysis. Crit Care 10:R51PubMed

105.

Meldrum DR, Moore FA, Moore EE, Franciose RJ, Sauaia A, Burch JM (1997) Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg 174:667–672PubMed

106.

Sugrue M, Jones F, Janjua KJ, Deane SA, Bristow P, Hillman K (1998) Temporary abdominal closure: a prospective evaluation of its effects on renal and respiratory physiology. J Trauma 45:914–921PubMed

107.

Cheatham ML, Safcsak K, Llerena LE, Morrow CE Jr., Block EF (2004) Long-term physical, mental, and functional consequences of abdominal decompression. J Trauma 56:237–241 discussion 41–2PubMedCrossRef

108.

Voss M, Pinheiro J, Reynolds J, Greene R, Dewhirst M, Vaslef SN et al (2003) Endoscopic components separation for abdominal compartment syndrome. Am J Surg 186:158–163PubMed

109.

Leppaniemi AK, Hienonen PA, Siren JE, Kuitunen AH, Lindstrom OK, Kemppainen EA (2006) Treatment of abdominal compartment syndrome with subcutaneous anterior abdominal fasciotomy in severe acute pancreatitis. World J Surg 30:1922–1924PubMed

110.

Drummond GB, Duncan MK (2002) Abdominal pressure during laparoscopy: effects of fentanyl. Br J Anaesth 88:384–388PubMed

111.

De Waele JJ, Benoit D, Hoste E, Colardyn F (2003) A role for muscle relaxation in patients with abdominal compartment syndrome? Intensive Care Med 29:332PubMed

112.

Macalino JU, Goldman RK, Mayberry JC (2002) Medical management of abdominal compartment syndrome: case report and a caution. Asian J Surg 25:244–246PubMed

113.

Kimball WR, Loring SH, Basta SJ, De Troyer A, Mead J (1985) Effects of paralysis with pancuronium on chest wall statics in awake humans. J Appl Physiol 58:1638–1645PubMed

114.

Hering R, Vorwerk R, Wrigge H, Zinserling J, Schroder S, von Spiegel T et al (2002) Prone positioning, systemic hemodynamics, hepatic indocyanine green kinetics, and gastric intramucosal energy balance in patients with acute lung injury. Intensive Care Med 28:53–58PubMed

115.

Hering R, Wrigge H, Vorwerk R, Brensing KA, Schroder S, Zinserling J et al (2001) The effects of prone positioning on intra-abdominal pressure and cardiovascular and renal function in patients with acute lung injury. Anesth Analg 92:1226–1231PubMed

116.

Michelet P, Roch A, Gainnier M, Sainty JM, Auffray JP, Papazian L (2005) Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study. Crit Care 9:R251–R257PubMed

117.

Savassi-Rocha PR, Conceicao SA, Ferreira JT, Diniz MT, Campos IC, Fernandes VA et al (1992) Evaluation of the routine use of the nasogastric tube in digestive operation by a prospective controlled study. Surg Gynecol Obstet 174:317–320PubMed

118.

Madl C, Druml W (2003) Gastrointestinal disorders of the critically ill systemic consequences of ileus. Best Pract Res Clin Gastroenterol 17:445–456PubMed

119.

Escorsell A, Gines A, Llach J, Garcia-Pagan JC, Bordas JM, Bosch J et al (2002) Increasing intra-abdominal pressure increases pressure, volume, and wall tension in esophageal varices. Hepatology 36:936–940PubMed

120.

Gargiulo NJ 3rd, Simon RJ, Leon W, Machiedo GW (1998) Hemorrhage exacerbates bacterial translocation at low levels of intra-abdominal pressure. Arch Surg 133:1351–1355PubMed

121.

The SAFE Study Investigators (2004) A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med 350:2247–2256

122.

Vachharajani V, Scott LK, Grier L, Conrad S (2003) Medical management of severe intra-abdominal hypertension with aggressive diuresis and continuous ultra-filtration. The Internet Journal of Emergency and Intensive Care Medicine, vol. 6

123.

Bloomfield G, Saggi B, Blocher C, Sugerman H (1999) Physiologic effects of externally applied continuous negative abdominal pressure for intra-abdominal hypertension. J Trauma 46:1009–1014 discussion 14–6PubMed

124.

Saggi BH, Bloomfield GL, Sugerman HJ, Blocher CR, Hull JP, Marmarou AP et al (1999) Treatment of intracranial hypertension using nonsurgical abdominal decompression. J Trauma 46:646–651PubMed

125.

Valenza F, Irace M, Guglielmi M, Gatti S, Bottino N, Tedesco C et al (2005) Effects of continuous negative extra-abdominal pressure on cardiorespiratory function during abdominal hypertension: an experimental study. Intensive Care Med 31:105–111PubMed

126.

Valenza F, Bottino N, Canavesi K, Lissoni A, Alongi S, Losappio S et al (2003) Intra-abdominal pressure may be decreased non-invasively by continuous negative extra-abdominal pressure (NEXAP). Intensive Care Med 29:2063–2067PubMed

127.

Valenza F, Gattinoni L (2006) Continuous negative abdominal pressure. In: Ivatury R, Cheatham M, Malbrain M, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 238–251

128.

Cheatham ML, Malbrain ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J et al (2007) Results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. II. Recommendations. Intensive Care Med 33:951–962PubMed

Titel: Current insights in intra-abdominal hypertension and abdominal compartment syndrome: open the abdomen and keep it open!
verfasst von: Inneke E. De laet
Mariska Ravyts
Wesley Vidts
Jody Valk
Jan J. De Waele
Manu L. N. G. Malbrain
Publikationsdatum: 01.11.2008
Verlag: Springer-Verlag
Erschienen in: Langenbeck's Archives of Surgery / Ausgabe 6/2008
Print ISSN: 1435-2443
Elektronische ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-008-0347-x

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Nach der Katheterablation von Vorhofflimmern kommt es bei etwa einem Drittel der Patienten zu Rezidiven, meist binnen eines Jahres. Wie sich spätere Rückfälle auf die Erfolgschancen einer erneuten Ablation auswirken, haben Schweizer Kardiologen erforscht.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Ureterstriktur: Innovative OP-Technik bewährt sich

19.04.2024 EAU 2024 Kongressbericht

Die Ureterstriktur ist eine relativ seltene Komplikation, trotzdem bedarf sie einer differenzierten Versorgung. In komplexen Fällen wird dies durch die roboterassistierte OP-Technik gewährleistet. Erste Resultate ermutigen.

Update Chirurgie

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Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Springer Medizin

Abstract

Background and aims

Methods and contents

Conclusions

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