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KMID : 1144420230380040399
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Acute and Critical Care
2023 Volume.38 No. 4 p.399 ~ p.408
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Abdominal compartment syndrome in critically ill patients
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Jang Hyun-Seok
Lee Na-A
Jeong Eui-Sung
Park Yun-Chul
Jo Young-Goun
Kim Jung-Chul
Kim Do-Wan
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Abstract
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Intra-abdominal hypertension can have severe consequences, including abdominal compartment syndrome, which can contribute to multi-organ failure. An increase in intra-abdominal hypertension is influenced by factors such as diminished abdominal wall compliance, increased intraluminal content, and certain systemic conditions. Regular measurement of intra-abdominal pressure is essential, and particular attention must be paid to patient positioning. Nonsurgical treatments, such as decompression of intraluminal content using a nasogastric tube, percutaneous drainage, and fluid balance optimization, play crucial roles. Additionally, point-of-care ultrasonography aids in the diagnosis and treatment of intra-abdominal hypertension. Emphasizing the importance of regular measurements, timely decompressive laparotomy is a definitive, but complex, treatment option. Balancing the urgency of surgical intervention against potential postoperative complications is challenging.
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KEYWORD
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critical care, intra-abdominal hypertension, multiple organ failure
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