| Intra-abdominal hypertension and the abdominal compartment syndrome. | |
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MedLine Citation:
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PMID: 15449260 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Abdominal compartment syndrome (ACS) occurs when intra-abdominal pressure is abnormally high in association with organ dysfunction. It tends to have a poor outcome, even when treated promptly by abdominal decompression. METHODS: A search of the Medline database was performed to identify articles related to intra-abdominal hypertension and ACS. RESULTS: Currently there is no agreed definition or management of ACS. However, it is suggested that intra-abdominal pressure should be measured in patients at risk, with values above 20 mmHg being considered abnormal in most. Abdominal decompression should be considered in patients with rising pressure and organ dysfunction, indicated by increased airway pressure, reduced cardiac output and oliguria. Organ dysfunction often occurs at an intra-abdominal pressure greater than 35 mmHg and may start to develop between 26 and 35 mmHg. The mean survival rate of patients affected by compartment syndrome is 53 per cent. CONCLUSION: The optimal time for intervention is not known, but outcome is often poor, even after decompression. Most of the available information relates to victims of trauma rather than general surgical patients. |
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Authors:
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A F K Moore; R Hargest; M Martin; R J Delicata |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The British journal of surgery Volume: 91 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 2004 Sep |
Date Detail:
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Created Date: 2004-09-27 Completed Date: 2004-10-07 Revised Date: 2004-12-23 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
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Languages: eng Pagination: 1102-10 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2004 British Journal of Surgery Society Ltd. |
Affiliation:
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Department of Surgery, Nevill Hall Hospital, Brecon Road, Abergavenny NP7 7EG, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen Cardiovascular Diseases / etiology Central Nervous System Diseases / etiology Compartment Syndromes / diagnosis, etiology, therapy* Early Diagnosis Humans Hypertension / diagnosis, etiology, therapy* Intestinal Diseases / etiology Kidney Diseases / etiology Liver Diseases / etiology Respiration Disorders / etiology Risk Factors |
| Comments/Corrections | |
Comment In:
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Br J Surg. 2004 Nov;91(11):1527
[PMID:
15499645
]
Br J Surg. 2004 Dec;91(12):1652 [PMID: 15547885 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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