The Open Abdomen in Infants and Children
Intra-abdominal pressure is not measured on a routine basis.
Cut-off of intra-abdominal hypertension is often not standardized in the clinical practice.
The definition of abdominal compartment syndrome appears to be not so well understood in the pediatric intensivist community.
Open abdomen treatment is often reserved for “hopeless” cases with poor results.Aim of this chapter is to give an over view of the current state-of-art of open abdomen and acute compartment syndrome in the pediatric population. We will highlight definition of abdominal compartment syndrome, the way to measure the intra-abdominal pressure, the evidence of the implementation of open abdomen treatment with its outcome and the cases peculiar to the pediatric population (e.g. abdominal wall defects or mismatch between adult graft and pediatric abdominal domain).
- 3.Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain MLNG, De Keulenaer B, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med. 2013;39:1190–206.CrossRefPubMedPubMedCentralGoogle Scholar