Search
[RESENT - STILL FIXING CODE - THESE TEST EMAILS SHOULD CEASE SHORTLY... SORRY FOR THE INCONVENIENCE]
- Abdominal compartment syndrome (ACS) is increasingly identified in the critically ill medical patient population
- ACS is defined as a sustained intra-abdominal pressure > 20 mmHg associated with new organ dysfunction
- Primary organs adversely affected by ACS include cardiac, pulmonary, GI, and renal
- To date, associated mortality rates have ranged from 27% to 50%
- Risk factors for ACS include:
- massive fluid resuscitation ( >10 L crystalloid in 24 hours)
- massive transfusion ( > 10 U PRBCs in 24 hours)
- severe sepsis or septic shock from any cause
- mechanical ventilation
- PEEP > 10 cm H20
- Intravesicular (bladder) pressures are currently the standard monitoring modality
- Decompressive laparotomy is the current standard for management of ACS