title: Hypoperfusion, shock states, and abdominal compartment syndrome (ACS).
abstract: Cardiovascular dysfunction and failure are commonly encountered in patients with intra-abdominal hypertension or abdominal compartment syndrome. Accurate assessment and optimization of preload, afterload, and contractility are essential to restoring end-organ perfusion and maximizing patient survival. Application of a goal-directed resuscitation strategy, including abdominal decompression, when indicated, improves cardiac function, reverses end-organ failure, and minimizes intra-abdominal hypertension-related patient morbidity and mortality.
authors.affiliation: Intensive Care Unit, Ziekenhuis Netwerk Antwerpen, Campus Stuivenberg/Erasmus, Antwerpen, Belgium.
authors.forename: Koen
authors.initials: K
authors.lastname: Ameloot
authors.forename: Carl
authors.initials: C
authors.lastname: Gillebert
authors.forename: Nele
authors.initials: N
authors.lastname: Desie
authors.forename: Manu L N G
authors.initials: ML
authors.lastname: Malbrain
mesh_terms: D003422:Critical Care / Q000379:methods*; D005440:Fluid Therapy; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000503:physiopathology / Q000628:therapy*; D008991:Monitoring, Physiologic / Q000379:methods; D009102:Multiple Organ Failure / Q000517:prevention & control*; D012769:Shock / Q000517:prevention & control*