Document Detail

Abdominal compartment syndrome: pathophysiology and definitions.
MedLine Citation:
PMID:  19254364     Owner:  NLM     Status:  In-Process    
"Intra-abdominal hypertension", the presence of elevated intra-abdominal pressure, and "abdominal compartment syndrome", the development of pressure-induced organ-dysfunction and failure, have been increasingly recognized over the past decade as causes of significant morbidity and mortality among critically ill surgical and medical patients. Elevated intra-abdominal pressure can cause significant impairment of cardiac, pulmonary, renal, gastrointestinal, hepatic, and central nervous system function. The significant prognostic value of elevated intra-abdominal pressure has prompted many intensive care units to adopt measurement of this physiologic parameter as a routine vital sign in patients at risk. A thorough understanding of the pathophysiologic implications of elevated intra-abdominal pressure is fundamental to 1) recognizing the presence of intra-abdominal hypertension and abdominal compartment syndrome, 2) effectively resuscitating patients afflicted by these potentially life-threatening diseases, and 3) preventing the development of intra-abdominal pressure-induced end-organ dysfunction and failure. The currently accepted consensus definitions surrounding the diagnosis and treatment of intra-abdominal hypertension and abdominal compartment syndrome are presented.
Michael L Cheatham
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Publication Detail:
Type:  Journal Article     Date:  2009-03-02
Journal Detail:
Title:  Scandinavian journal of trauma, resuscitation and emergency medicine     Volume:  17     ISSN:  1757-7241     ISO Abbreviation:  Scand J Trauma Resusc Emerg Med     Publication Date:  2009  
Date Detail:
Created Date:  2009-03-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101477511     Medline TA:  Scand J Trauma Resusc Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  10     Citation Subset:  IM    
Department of Surgical Education, Orlando Regional Medical Center, Orlando, Florida 32806, USA.
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