[Abdominal compartment syndrome--current recommendations].
Abdominal compartment syndrome (ACS) occurs in critically ill patients for surgical, as well as medical reasons. It implies significant mortality. Therefore diagnostic vigilance and agressive treatment are necessary. All patients at elevated risk of ACS should have their intraabdominal pressure monitored, which is best measured in the urinary bladder. The currently adopted borderline of intra-abdominal hypertension is 12 mmHg and of ACS -20 mmHg, if it is accompanied by abdominal or thoracic organ insufficiency. The gold standard of quick and definitive treatment of ACS is surgical decompression by opening the abdomen and leaving it open until intraabdominal pressure decreases. Dressings with aspiration of abdominal fluid seem the most helpful, although prospective studies are necessary. The methods of non-operation decompression are a good alternative, when intraabdominal pressure is lower and in oncological patients.
Myśliwiec
Piotr
P
II Klinika Chirurgii Ogólnej iGastroenterologicznej, Uniwersytetu Medycznego w Białymstoku. chgastro@amb.edu.pl
Kedra
Bogusław
B
D000005:Abdomen; D003161:Compartment Syndromes / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans