Document Detail


Abdominal Compartment Syndrome and Acute Kidney Injury Due to Excessive Auto-Positive End-Expiratory Pressure.
MedLine Citation:
PMID:  23157939     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abdominal compartment syndrome is an under-recognized cause of acute kidney injury in critically ill patients. We report a case of a patient with severe obstructive lung disease who, while intubated for respiratory failure, developed abdominal compartment syndrome and oliguric acute kidney injury due to air-trapping and excessive auto-positive end-expiratory pressure (auto-PEEP; also known as intrinsic PEEP). When chemical paralysis was initiated and the auto-PEEP resolved, the patient's intra-abdominal hypertension rapidly improved and kidney function recovered immediately. Abdominal compartment syndrome secondary to excessive auto-PEEP appears to be unreported in the literature; however, any process that significantly increases intrathoracic pressure conceivably could cause increased pressure to be transmitted to the abdominal compartment, resulting in organ failure. Patients undergoing mechanical ventilation, which puts them at risk of airflow obstruction and the development of intra-abdominal hypertension, should be evaluated for air-trapping and excessive auto-PEEP.
Authors:
Dwight Matthew; David Oxman; Karim Djekidel; Ziauddin Ahmed; Michael Sherman
Related Documents :
8747899 - Clinical performance of a high-efficiency rapid flow leucocyte removal filter for leuco...
8235079 - An experimental study of cross-circulation for cardiopulmonary bypass in dogs.
21358449 - The comparative usefulness of orthostatic testing and tilt table testing in the evaluat...
17893579 - Lighter general anesthesia causes less decrease in arterial pressure induced by epineph...
7488479 - Effect of inspired oxygen on the cardiovascular effects of protamine after cardiopulmon...
17923959 - Effects of increased intra-abdominal pressure on the healing process after surgical sta...
6488479 - The effects of phentolamine and isoproterenol in experimental hemorrhagic shock in the ...
23553449 - Evaluation of a teaching tool to increase the accuracy of pilot balloon palpation for m...
3921519 - Adaptation to reflex effects of prolonged lung inflation.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-13
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  -     ISSN:  1523-6838     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Nephrology, Drexel University College of Medicine, Philadelphia, PA. Electronic address: dwight.matthew@drexelmed.edu.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Effect of Early Initiation of Dialysis on Cardiac Structure and Function: Results From the Echo Subs...
Next Document:  Predictors of use of pain medications for persistent knee pain after primary Total Knee Arthroplasty...