Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presencia de factores de riesgo
- distensión abdominal
- oliguria
- aumento del esfuerzo respiratorio
- hipotensión
Fatores de risco
- rehidratación excesiva (>3 L en 24 horas)
- transfusión de sangre masiva (>10 unidades en 24 horas)
- disminución de la distensibilidad abdominal
- inflamación o infección intrabdominal
- hemoperitoneo
- íleo
- neumoperitoneo
- pérdida de área abdominal
- cirrosis comórbida
- hematoma retroperitoneal
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- medición transvesical de la presión intrabdominal
- saturación de oxígeno
- urea y creatinina séricas
- gasometría arterial
Investigações a serem consideradas
- presión máxima en las vías respiratorias
- tomografía computarizada (TC) abdominal
- ultrasonido de abdomen
Novos exames
- medición de la presión intrabdominal a través de la vena cava, el recto o la cavidad abdominal
Algoritmo de tratamento
todos los pacientes
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
Раскрытие информации
JCP declares that he has no competing interests.
Выражение благодарностей
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.
Рецензенты
Bart De Keulenaer, MD, FJFICM
Physician/Intensivist
Fremantle Hospital
Fremantle
Western Australia
Australia
Раскрытие информации
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.
Список литературы
Основные статьи
The World Society of the Abdominal Compartment Syndrome. WSACS consensus guidelines summary. Apr 2021 [internet publication].Полный текст
An G, West MA. Abdominal compartment syndrome: a concise clinical review. Crit Care Med. 2008 Apr;36(4):1304-10. Аннотация
Iberti TJ, Kelly KM, Gentili DR, et al. A simple technique to accurately determine intra-abdominal pressure. Crit Care Med. 1987 Dec;15(12):1140-2. Аннотация
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. Аннотация
de Laet IE, Malbrain M. Current insights in intra-abdominal hypertension and abdominal compartment syndrome. Med Intensiva. 2007 Mar;31(2):88-99. Аннотация
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. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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- Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines
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