Article ; Online: Hipertensión intraabdominal y síndrome compartimental abdominal.
Enfermedades infecciosas y microbiologia clinica
2010 Volume 28 Suppl 2, Page(s) 2–10
Abstract: Although intraabdominal pressure (IAP) has been studied for more than 100 years, the concepts of intraabdominal hypertension (IAH) and abdominal compartmental syndrome (ACS) have only been developed as clinical entities of interest in intensive care in ... ...
| Title translation | Intraabdominal hypertension and abdominal compartment syndrome. |
|---|---|
| Abstract | Although intraabdominal pressure (IAP) has been studied for more than 100 years, the concepts of intraabdominal hypertension (IAH) and abdominal compartmental syndrome (ACS) have only been developed as clinical entities of interest in intensive care in the last 5 years. At the first Congress on Abdominal Compartment Syndrome in December 2004, a series of definitions were established, which were published in 2006. IAH is defined as IAP ≥ 12 mmHg and is classified in four severity grades, the maximum grade being ACS, with the development of multiorgan failure. The incidence of IAH in patients in intensive care units is high, around 30% at admission and 64% in those with a length of stay of 7 days. The increase in IAP leads to reduced vascular flow to the splenic organs, increased intrathoracic pressure and decreased venous return, with a substantial reduction in cardiac output. If IAH persists, these physiopathologic episodes are followed by the development of multiorgan failure with renal, cardiocirculatory and respiratory failure and intestinal ischemia. Mortality from untreated ACS is higher than 60%. The only treatment for ACS is surgical decompression. In patients with moderate IAH, medical treatment should be optimized, based on the following measures: a) serial IAP monitoring; b) optimization of systemic perfusion and the function of the distinct systems in patients with high IAP; c) instauration of specific measures to decrease IAP; and d) early surgical decompression for refractory IAH. The application of the medical measures that can reduce IAP and early abdominal decompression in ACS improve survival in critically ill patients with IAH. |
| MeSH term(s) | Abdomen ; Algorithms ; Animals ; Ascites/complications ; Central Nervous System/physiopathology ; Compartment Syndromes/drug therapy ; Compartment Syndromes/epidemiology ; Compartment Syndromes/etiology ; Compartment Syndromes/physiopathology ; Compartment Syndromes/surgery ; Critical Care ; Decompression, Surgical ; Diuretics/therapeutic use ; Fluid Therapy ; Gastrointestinal Tract/physiopathology ; Glomerular Filtration Rate ; Hemodynamics ; Humans ; Hypnotics and Sedatives/therapeutic use ; Incidence ; Intubation, Gastrointestinal ; Manometry/methods ; Neuromuscular Blocking Agents/therapeutic use ; Pressure ; Renal Insufficiency/etiology ; Renal Insufficiency/physiopathology |
| Chemical Substances | Diuretics ; Hypnotics and Sedatives ; Neuromuscular Blocking Agents |
| Language | Spanish |
| Publishing date | 2010-09 |
| Publishing country | Spain |
| Document type | English Abstract ; Journal Article ; Review |
| ZDB-ID | 1070941-1 |
| ISSN | 1578-1852 ; 0213-005X |
| ISSN (online) | 1578-1852 |
| ISSN | 0213-005X |
| DOI | 10.1016/S0213-005X(10)70024-0 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 3204: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.