title: Abdominal compartment syndrome (ACS) in a severely burned patient.
abstract: Abdominal compartment syndrome (ACS) occurs when increasing intra abdominal-pressure (IAP) reduces blood flow to abdominal organs. This results in impairment of pulmonary, cardiovascular, renal, hepatic, central nervous system and gastro-intestinal (gi) function, causing multiple organ dysfunction syndrome and death. The significant prognostic value of elevated intra-abdominal pressure has prompted many intensive care units to adopt measurement of this physiologic parameter as a routine vital sign in patients at risk. ACS generally occurs in patients who are critically ill due to any of a wide variety of medical and surgical conditions. it has been recently described as a rare complication of burn injury. it is fundamental to: 1) recognize IAP and ACS; 2) resuscitate effectively; and 3) prevent the development IAP-induced end-organ dysfunction and failure. We present our recent experience with one patient suffering from ACS secondary to burn injury and the physiologic results of abdominal wall escharotomy.
authors.affiliation: Department of Critical Care, General hospital of Athens, "o Evaggelismos", Athens University, School of medicine, Greece.
authors.forename: S
authors.initials: S
authors.lastname: Kollias
authors.affiliation: Department of Plastic Surgery, Plastic & Reconstructive Surgery, General hospital of Athens, "o Evaggelismos", Greece.
authors.forename: N
authors.initials: N
authors.lastname: Stampolidis
authors.affiliation: Department of Plastic Surgery, Plastic & Reconstructive Surgery, General hospital of Athens, "o Evaggelismos", Greece.
authors.forename: P
authors.initials: P
authors.lastname: Kourakos
authors.affiliation: Athens University of economics & business, Department of management Science & Technology, eLTRUn - The ebusiness Research Center, Greece.
authors.forename: E
authors.initials: E
authors.lastname: Mantzari
authors.affiliation: Department of Plastic Surgery, Plastic & Reconstructive Surgery, General hospital of Athens, "o Evaggelismos", Greece.
authors.forename: S
authors.initials: S
authors.lastname: Koupidis
authors.affiliation: Department of Critical Care, General hospital of Athens, "o Evaggelismos", Athens University, School of medicine, Greece.
authors.forename: S
authors.initials: S
authors.lastname: Tsaousi
authors.affiliation: General hospital of Athens, "o Evaggelismos", Greece.
authors.forename: A
authors.initials: A
authors.lastname: Dimitrouli
authors.affiliation: Plastic and Reconstructive Surgery, American University of beirut medical Center; President, mbC, executive editor, Annals of burns & Fire Disasters.
authors.forename: B
authors.initials: B
authors.lastname: Atiyeh
authors.affiliation: Department of Plastic Surgery, Plastic & Reconstructive Surgery, General hospital of Athens, "o Evaggelismos", Greece.
authors.forename: O
authors.initials: O
authors.lastname: Castana
keywords: abdominal compartment syndrome; burn