Document Detail


Abdominal compartment syndrome due to extracorporeal membrane oxygenation in adults.
MedLine Citation:
PMID:  20732475     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Extracorporeal membrane oxygenation (ECMO) improves the outcome of refractory cardiogenic shock. Few studies in adult populations have specifically addressed the complications of ECMO. Abdominal compartment syndrome (ACS) has been previously described in the pediatric literature, but it has never been directly attributed to ECMO alone. The authors describe two cases of ACS directly induced by venoarterial ECMO. In one case, decompressive laparotomy restored an adequate hemodynamic status. The authors hypothesize that ECMO contributed to ACS by inducing massive fluid overload and subsequent tense ascites. In conclusion, when ECMO dysfunction or hemodynamic impairment occurs, ACS should be considered and a decompressive laparotomy should be performed.
Authors:
Pascal Augustin; Sigismond Lasocki; Guillaume Dufour; Julie Rode; Alexandre Karsenti; Nawwar Al-Attar; Romain Bazeli; Philippe Montravers
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  90     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-24     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e40-1     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Anesthesiology and Surgical Intensive Care Unit, Hôpital Bichat-Claude Bernard, Assistance Publique-Hôpitaux de Paris, Université Paris VII, Paris, France. pascalaugustin@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Abdomen
Aged
Compartment Syndromes / etiology*
Extracorporeal Membrane Oxygenation / adverse effects*
Female
Humans
Middle Aged

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


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