Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- abdominal distension
- oliguria
- increased respiratory effort
- hypotension
Fatores de risco
- excessive fluid resuscitation (>3 L in 24 hours)
- massive blood transfusion (>10 units in 24 hours)
- decreased abdominal compliance
- intra-abdominal infection/inflammation
- hemoperitoneum
- ileus
- pneumoperitoneum
- loss of abdominal domain
- comorbid cirrhosis
- retroperitoneal hematoma
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- transbladder measurement of intra-abdominal pressure
- oxygen saturation
- BUN and creatinine
- arterial blood gases
Investigações a serem consideradas
- peak airway pressure
- abdominal CT scan
- abdominal ultrasound
Novos exames
- measurement of intra-abdominal pressure via vena cava, rectum, or abdominal cavity
Algoritmo de tratamento
all patients
Colaboradores
Autores
Michael W. Cripps, MD
Assistant Professor
Department of Surgery
Division of Burn/Trauma/Critical Care
University of Texas Southwestern Medical Center
Dallas
TX
Declarações
MWC has been reimbursed by Hemosonics and Instrumentation Laboratory for consultancy.
Jeffrey C. Perumean, MD
Surgeon/Surgical Intensivist
Advanced Surgical Associates/Banner Health
Division of Trauma/Critical Care
Mesa
AZ
Declarações
JCP declares that he has no competing interests.
Agradecimentos
Dr Michael Cripps and Dr Jeffrey Perumean would like to gratefully acknowledge Dr Michaela West and Dr Gary An, previous contributors to this topic. MW and GA are authors of a reference cited in this topic.
Revisores
Bart De Keulenaer, MD, FJFICM
Physician/Intensivist
Fremantle Hospital
Fremantle
Western Australia
Australia
Declarações
BDK declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
The World Society of the Abdominal Compartment Syndrome. WSACS consensus guidelines summary. Apr 2021 [internet publication].Texto completo
An G, West MA. Abdominal compartment syndrome: a concise clinical review. Crit Care Med. 2008 Apr;36(4):1304-10. Resumo
Iberti TJ, Kelly KM, Gentili DR, et al. A simple technique to accurately determine intra-abdominal pressure. Crit Care Med. 1987Dec;15(12):1140-2. Resumo
Cheatham ML, Malbrain ML, Kirkpatrick A, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations. Intensive Care Med. 2007 Jun;33(6):951-62. Resumo
de Laet IE, Malbrain M. Current insights in intra-abdominal hypertension and abdominal compartment syndrome. Med Intensiva. 2007 Mar;31(2):88-99. Resumo
Malbrain ML, De Laet I, Cheatham M. Consensus conference definitions and recommendations on intra-abdominal hypertension (IAH) and the abdominal compartment syndrome (ACS): the long road to the final publications, how did we get there? Acta Clin Belg Suppl. 2007;62(Suppl 1):44-59. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
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