title: Alternatives to formal abdominal decompression.
abstract: Open abdominal decompression (OAD) is a potentially life-saving but arguably invasive treatment for intra-abdominal hypertension (IAH) and/or abdominal compartment syndrome (ACS). Although OAD has previously been considered the only therapeutic option for IAH/ACS, the application of  comprehensive nonoperative medical management strategies to reduce elevated intra-abdominal pressure and restore organ perfusion has recently been shown to decrease progression to ACS and the need for OAD. Furthermore, a variety of minimally invasive therapies have been developed for the treatment  of patients who would traditionally have required OAD. In general, these therapies are most applicable for patients with secondary rather than primary IAH leading to ACS.
authors.affiliation: Department of Critical Care Medicine, Foothills Medical Centre, 1403 29 Street NW, Calgary, Alberta, Canada.
authors.forename: Jean-Francois
authors.initials: JF
authors.lastname: Ouellet
authors.forename: Ari
authors.initials: A
authors.lastname: Leppaniemi
authors.forename: Chad G
authors.initials: CG
authors.lastname: Ball
authors.forename: Michael L
authors.initials: ML
authors.lastname: Cheatham
authors.forename: Scott
authors.initials: S
authors.lastname: D'Amours
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Kirkpatrick
mesh_terms: D001202:Ascitic Fluid; D019299:Decompression, Surgical; D004322:Drainage; D000071938:Fasciotomy; D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000628:therapy*; D019060:Minimally Invasive Surgical Procedures