Management of abdominal compartment syndrome during extracorporeal life support.
OBJECTIVE
To describe the successful use of a peritoneal dialysis catheter for emergent decompression of abdominal compartment syndrome during extracorporeal life support for septic shock.


METHODS
Case report.


METHODS
Pediatric intensive care unit at a freestanding tertiary children's hospital.


METHODS
Two-year-old toddler with influenza A complicated by methicillin-resistant Staphylococcus aureus pneumonia and septic shock.


METHODS
Placement of peritoneal dialysis catheter.


RESULTS
Changes in hemodynamic and respiratory parameters. Improvement in extracorporeal membrane oxygenation venous drainage with subsequent survival.


CONCLUSIONS
Although the standard therapy for abdominal compartment syndrome is decompressive laparotomy, a minimally invasive percutaneous approach may be effective and should be considered in selected patients.
Okhuysen-Cawley
Regina
R
University of Arkansas for Medical Sciences College of Medicine, Department of Pediatrics, Little Rock, Arkansas, USA.
Prodhan
Parthak
P
Imamura
Michiaki
M
Dedman
A Heather
AH
Anand
K J S
KJ
D000005:Abdomen; D002404:Catheterization; D002675:Child, Preschool; D003161:Compartment Syndromes / Q000209:etiology* / Q000628:therapy*; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D010530:Peritoneal Dialysis / Q000295:instrumentation; D012772:Shock, Septic / Q000150:complications* / Q000628:therapy*