Abdominal compartment syndrome related to noninvasive ventilation.
OBJECTIVE
To study the effects of noninvasive positive pressure ventilation (NIPPV) on intra-abdominal pressure.


METHODS
Single case report from a tertiary teaching hospital.


METHODS
A 65-year-old man who experienced a sudden respiratory and cardiovascular collapse during NIPPV. This was caused by gastric overdistension due to aerophagia followed by raised intra-abdominal pressure leading to intra-abdominal hypertension and abdominal compartment syndrome.


RESULTS
The respiratory and cardiovascular problems resolved immediately after the introduction of a nasogastric tube. This resulted in normalization of IAP.


CONCLUSIONS
This is the first case reported of an abdominal compartment syndrome related to NIPPV. Clinicians should be aware of this possible complication while using NIPPV.
De Keulenaer
Bart L
BL
Makrylos CCT, 0810, Brinkin, Northern Territory, Australia. bdekeul@hotmail.com
De Backer
Adelard
A
Schepens
Dirk R
DR
Daelemans
Ronny
R
Wilmer
Alexander
A
Malbrain
Manu L N G
ML
D000005:Abdomen / Q000503:physiopathology; D000334:Aerophagy / Q000150:complications / Q000000981:diagnostic imaging; D000368:Aged; D001530:Belgium; D003161:Compartment Syndromes / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D011859:Radiography