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Abdominal Compartment Syndrome: Improving Outcomes With A Multidisciplinary Approach – A Narrative Review

Authors Padar M, Reintam Blaser A, Talving P, Lipping E, Starkopf J

Received 12 September 2019

Accepted for publication 24 October 2019

Published 19 December 2019 Volume 2019:12 Pages 1061—1074

DOI https://doi.org/10.2147/JMDH.S205608

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Martin Padar,1,2 Annika Reintam Blaser,2,3 Peep Talving,4,5 Edgar Lipping,6 Joel Starkopf1,2

1Department of Anaesthesiology and Intensive Care, Tartu University Hospital, Tartu, Estonia; 2Department of Anaesthesiology and Intensive Care, University of Tartu, Tartu, Estonia; 3Department of Intensive Care, Lucerne Cantonal Hospital, Lucerne, Switzerland; 4Department of Surgery, University of Tartu, Tartu, Estonia; 5Management Board, North Estonia Medical Centre, Tallinn, Estonia; 6Department of Surgery, Division of Acute Care Surgery, North Estonia Medical Centre, Tallinn, Estonia

Correspondence: Annika Reintam Blaser
Department Of Intensive Care, Lucerne Cantonal Hospital, Spitalstrasse, Lucerne 6000, Switzerland
Tel +41 79 514 21 21
Email Annika.Reintam.Blaser@ut.ee

Abstract: Abdominal compartment syndrome (ACS) refers to a severe increase in intra-abdominal pressure associated with single or multiorgan failure. ACS with specific pathophysiological processes and detrimental outcomes may occur in a variety of clinical conditions. Patients with ACS are predominantly managed in critical care settings, however, a wide range of multidisciplinary interventions are frequently required from medical, surgical, radiological and nursing specialties. The medical management, aiming to prevent the progression of intra-abdominal hypertension to ACS, is extensively reviewed. Timing and techniques of surgical decompression techniques, as well as management of open abdomen, are outlined. In summary, the current narrative review provides data on history, definitions, epidemiology and pathophysiology of the syndrome and highlights the importance of multidisciplinary approach in the management of ACS in adults.

Keywords: intra-abdominal hypertension, abdominal compartment syndrome, abdominal decompression, decompressive laparotomy, damage control surgery, open abdomen

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