title: Management of abdominal compartment syndrome during extracorporeal life support.
abstract: 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.
authors.affiliation: University of Arkansas for Medical Sciences College of Medicine, Department of Pediatrics, Little Rock, Arkansas, USA.
authors.forename: Regina
authors.initials: R
authors.lastname: Okhuysen-Cawley
authors.forename: Parthak
authors.initials: P
authors.lastname: Prodhan
authors.forename: Michiaki
authors.initials: M
authors.lastname: Imamura
authors.forename: A Heather
authors.initials: AH
authors.lastname: Dedman
authors.forename: K J S
authors.initials: KJ
authors.lastname: Anand
mesh_terms: 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*