Encyclopedia of Intensive Care Medicine

2012 Edition
| Editors: Jean-Louis Vincent, Jesse B. Hall

Abdominal Compartment Syndrome

  • Lewis J. KaplanEmail author
  • Manu L. N. G. Malbrain
Reference work entry
DOI: https://doi.org/10.1007/978-3-642-00418-6_252
  • 215 Downloads

Synonyms

While there are no accurate synonyms, the term intra-abdominal hypertension (IAH) is often used to describe one of the two required key elements for the syndrome to occur – Intra-Abdominal Hypertension (IAH). IAH is defined as an intra-abdominal pressure (IAP) that persistently equals or exceeds 12 mmHg (see Intra-Abdominal Pressure Monitoring) [1]

Definition

The World Society of Abdominal Compartment Syndrome (www.WSACS.org) has derived a consensus statement with definitions of IAH and ACS [1]. The ACS is defined as an intra-abdominal pressure that exceeds 20 mmHg and is accompanied by an attributable organ failure. This definition acknowledges that the syndrome may occur with or without an abdominal perfusion pressure (APP) <60 mmHg. The APP can be calculated by subtracting the IAP from the mean arterial pressure (MAP), APP = MAP – IAP. The formula for APP is similar to the one used to assess intracranial pressure (ICP) and cerebral perfusion pressure (CPP = MAP – ICP) and...

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References

  1. 1.
    Malbrain ML, Cheatham ML, Kirkpatrick A et al (2006) Results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome I. Definitions. Inten Care Med 32(11):1722–1732CrossRefGoogle Scholar
  2. 2.
    Maxwell RA, Fabian TC, Croce MA, Davis KA (1999) Secondary abdominal compartment syndrome: an unappreciated manifestation of severe hemorrhagic shock. J Trauma 47(6):995–999PubMedCrossRefGoogle Scholar
  3. 3.
    Betro G, Kaplan LJ (2009) Abdominal compartment syndrome. In: Ronco C, Bellomo R, Kellum JA (eds) Critical care nephrology, 2nd edn. WB Saunders, PhiladelphiaGoogle Scholar
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    Lui F, Sangosanya A, Kaplan LJ (2007) Abdominal compartment syndrome: clinical aspects and monitoring. Crit Care Clin 23:415–335PubMedCrossRefGoogle Scholar
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    Malbrain ML, De Laet I (2008) AIDS is coming to your ICU: be prepared for acute bowel injury and acute intestinal distress syndrome. Inten Care Med 34(9):1565–1569CrossRefGoogle Scholar
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    De Waele JJ, Hoste EA, Malbrain ML (2006) Decompressive laparotomy for abdominal compartment syndrome–a critical analysis. Crit Care 10(2):R51PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of SurgeryYale University School of MedicineNew HavenUSA
  2. 2.Intensive Care UnitZiekenhuis Netwerk Antwerpen Hospital Campus StuivenbergAntwerpBelgium