Secondary abdominal compartment syndrome: a potential threat for all trauma clinicians.
Post-injury abdominal compartment syndrome (ACS) is an increasingly recognised phenomenon in critical care. During the last decade, ACS had also been characterised in patients without abdominal injuries, referred to as secondary ACS. Recent investigation has described this elusive syndrome better, with up to 70% mortality. Regardless of the cause of the syndrome and the nature of any extra-abdominal injuries, secondary ACS is invariably associated with massive fluid resuscitation. With a reliable, predictive model and new monitoring techniques, trauma clinicians should be able to identify the high-risk patient and attenuate the impact of this syndrome.
Balogh
Zsolt
Z
Department of Trauma, Division of Surgery, John Hunter Hospital & University of Newcastle, Locked Bag 1, Hunter Region Mail Centre, Newcastle, NSW, Australia. Zsolt.Balogh@hnehealth.nsw.gov.au <Zsolt.Balogh@hnehealth.nsw.gov.au>
Moore
Frederick A
FA
Moore
Ernest E
EE
Biffl
Walter L
WL
D000007:Abdominal Injuries / Q000150:complications* / Q000453:epidemiology / Q000628:therapy; D003161:Compartment Syndromes / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D005440:Fluid Therapy / Q000009:adverse effects*; D006801:Humans; D009104:Multiple Trauma / Q000628:therapy; D011312:Pressure; D015995:Prevalence; D012151:Resuscitation / Q000009:adverse effects; D012307:Risk Factors; D012774:Shock, Traumatic / Q000150:complications / Q000628:therapy