Intra-abdominal hypertension and abdominal compartment syndrome in the severe patient
Keywords:
abdominal compartment syndrome, intra-abdominal pressure, critical patientAbstract
Introduction: intra-abdominal hypertension and abdominal compartment syndrome imply a serious prognosis.
Objective: systematize essential contents related to the diagnosis and treatment of these medical emergencies.
Method: in the Faculty of Medical Sciences Guantanamo, between January and July 2019, a narrative review on the subject was made through a search in electronic databases (Virtual Health Library): LILACS, PubMed, SciELO, ClinicalKey, REDALYC, Scopus, Cochrane.
Results: 125 documents were located, and 25 relevant for the purpose of the review were chosen. The information was structured in the following aspects: definition, pathophysiology, etiology, diagnosis and treatment.
Conclusions: a useful theoretical reference to students and general practitioners was prepared to prepare on the subject. Controversies were identified about the effectiveness of the use of sedative, analgesic, prokinetic, albumin and diuretic drugs, renal replacement therapy and gastric and colonic decompression for medical treatment, the impact of surgical treatments on patient survival and the effect of the patient's comorbidity, the causative disease, the diagnostic-treatment time window in the therapeutic results of these medical emergencies.
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References
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7. Thabet FC, Ejike JC. Intra-abdominal hypertension and abdominal compartment syndrome in pediatrics. A review. J Crit Care [en línea]. 2017 Jun [citado 18 Ago 2019]; 41:275-282. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28614762
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16. Hecker A, Hecker B, Hecker M, Riedel JG, Weigand MA, Padberg W. Acute abdominal compartment syndrome: current diagnostic and therapeutic options. Langenbecks Arch Surg [en línea]. 2016 [citado 18 Ago 2019]; 401(1):15-24. Disponible en: https://emedicine.medscape.com/article/26518567-overview
17. Borre ND, Almanza HA, Dueñas CC, Ortiz RG. La monitorización intraabdominal, una medida olvidada en UCI. Acta Colomb Cuid Intens [en línea]. 2018 [citado 18 Ago 2019]; 18(1):31-42. DOI: https://doi.org/10.1016/j.acci.2017.10.009
18. Hunt L, Frost SA, Newton PJ, Salamonson Y, Davidson PM. A survey of critical care nurses’ knowledge of intra-abdominal hypertension and abdominal compartment syndrome. Aust Crit Care [en línea]. 2016 [citado 18 Ago 2019]; 17(3). Disponible en: http://refhub.elsevier.com/S0122-7262(17)30055-1/sbref0275
19. Paola ALA, Solano MH, Rojas MVM. Síndrome Compartimental, generalidades, consenso diagnóstico y técnica quirúrgica. Rev Cl EMed UCR – HSJD [en línea]. 2018 [citado 18 Ago 2019]; 8(11):11-24. Disponible en: https://www.medigraphic.com/pdfs/revcliescmed/ucr-2018/ucr182e.pdf
20. Prasad GR, Subba Rao JV, Aziz A, Rashmi TM. The Role of Routine Measurement of Intra-abdominal Pressure in Preventing Abdominal Compartment Syndrome. J Indian Assoc Pediatr Surg [en línea]. 2017 Sep [citado 18 Ago 2019]; 22(3):134-138. DOI: http://dx.doi.org/10.4103/jiaps.JIAPS_222_15
21. Van Damme L, De Waele JJ. Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis. Crit Care Jul [en línea]. 2018 [citado 18 Ago 2019]; 22(1):179. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/30045753
22. Gray S, Christensen M, Craft J. The gastro-renal effects of intraabdominal hypertension: Implications for critical care nurses. Intensive Crit Care Nurs [en línea]. 2018 Oct [citado 18 Ago 2019]; 48:69-74. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29937073
23. Campos MMA, Villarreal RE, Chimal TM, Pozas MJA. Presión intraabdominal como predictor de cirugía en pacientes con dolor abdominal agudo. Rev Med Inst Mex Seg Soc [en línea]. 2016 [citado 18 Ago 2019]; 54(3):280-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/27100971
24. Reintam BAR, Malbrain MLNG, Starkopf J, Fruhwald S, De Waele J, Braun JP, et al. Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM working group on abdominal problems. Int Care Med [en línea]. 2019 [citado 18 Ago 2019]; 38(3):384-94. DOI: http://doi:10.1007/s00134-011-2459-y
25. Rogers WK, Garcia L. Intra-Abdominal Hypertension, Abdominal Compartment Syndrome, and the Open Abdomen. Chest [en línea]. 2018 Aug [citado 18 Ago 2019]; 153(1):238-250. DOI: http://dx.doi.org/10.1016/j.chest.2017.07.023
2. Chandra R, Jacobson RA, Poirier J, Millikan K, Robinson E, Siparsky N. Successful non-operative management of intraabdominal hypertension and abdominal compartment syndrome after complex ventral hernia repair: a case series. Am J Surg [en línea]. 2018 Oct [citado 18 Ago 2019]; 216(4):819-823. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30243791
3. Sánchez MA, Castellanos G, Badenesc R, Conejero R. Síndrome compartimental abdominal y síndrome de distrés intestinal agudo. Med Intensiva [en línea]. 2016 [citado 18 Ago 2019]; 37(2):99-109. DOI: http://dx.doi.org/10.1016/j.medin.2011.11.019
4. Mesa IO, Ferrer RH, Travieso PG, Mato RA, González MEM. Comportamiento de la presión intrabdominal en el abdomen agudo quirúrgico. Rev Cubana Cir [en línea]. 2018 [citado 18 Ago 2019]; 56(3):1-10. Disponible en: http://www.redalyc.org/articulo.oa?id=281254492004
5. Gupta HP, Khichar PR, Porwal R, Singh A, Sharma AK, Beniwal M, et al. The duration of intra-abdominal hypertension and increased serum lactate level are important prognostic markers in critically ill surgical patient's Outcome: A prospective, observational study. Niger J Surg [en línea]. 2019 Jun [citado 18 Ago 2019]; 25(1):1-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452757/
6. Pérez PJ, Barletta FR, Castro VG, Barletta FJB, Castillo FF, Barletta CJ. Mecanismos fisiopatológicos implicados en el síndrome compartimental abdominal. Rev Finlay [en línea]. 2018 [citado 18 Ago 2019]; 8(1):46-58. Disponible en: http://scielo.sld.cu/pdf/rf/v8n1/rf06108.pdf
7. Thabet FC, Ejike JC. Intra-abdominal hypertension and abdominal compartment syndrome in pediatrics. A review. J Crit Care [en línea]. 2017 Jun [citado 18 Ago 2019]; 41:275-282. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/28614762
8. Roberts DJ, Ball CG, Kirkpatrick AW. Increased pressure within the abdominal compartment: intra-abdominal hypertension and the abdominal compartment syndrome. Curr Opin Crit Care [en línea]. 2016 [citado 18 Ago 2019]; 22(2):174-85. DOI: http://dx.doi.org/10.1097/MCC.0000000000000289
9. World Society of the Abdominal Compartment Syndrome (WSACS). Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the WSACS. Int Care Med [en línea]. 2013 Jul [citado 18 Ago 2019]; 39:1190-206. Disponible en: http://www.gradeworkinggroup.org
10. Shaheen AW, Crandall ML, Nicolson NG, Smith SE, Merlotti GJ, Jalundhwala Y, et al. Abdominal compartment syndrome in trauma patients: new insights for predicting out-comes. J Emerg Trauma Shoc. [en línea]. 2016 [citado 18 Ago 2019]; 9(2):53-7. Disponible en: http://refhub.elsevier.com/S0122-7262(17)30055-1/sbref0170
11. Strang SG, Van Lieshout EM, Van Waes OJ, Verhofstad MH. Prevalence and mortality of abdominal compartment syndrome in severely injured patients: A systematic review. J Trauma Acute Care Surg [en línea]. 2016 [citado 18 Ago 2019]; 81(3):585-92. DOI: http://dx.doi.org/10.1097/TA.0000000000001133
12. Regli A, Pelosi P, Malbrain M. Ventilation in patients with intra-abdominal hypertension: what every critical care physician needs to know. Ann Intensive Care [en línea]. 2019 [citado 18 Ago 2019]; 9(52):1-19. DOI: https://doi.org/10.1186/s13613-019-0522-y
13. Carr JA. Abdominal compartment syndrome: a decade of progress. J Am Coll Surg [en línea]. 2016 [citado 18 Ago 2019]; 216(1):135-146. DOI:http://dx.doi.org/10.1016/j.jamcollsurg.2012.09.004
14. Andrew HS. Acute. Compartment Syndrome. Orthop Clin N Am [en línea]. 2016 [citado 18 Ago 2019]; 47:17-525. DOI: http://dx.doi.org/10.1016/j.ocl.2016.0 2.001
15. González SAJ, Titos GA, Cabrera SI, Aranda NJM, Romacho LL, Pitarch MM, et al. Situación actual del cierre de abdomen temporal. Cir Andal [en línea]. 2019 [citado 18 Ago 2019]; 30(1):96-100. Disponible en: https://www.asacirujanos.com/revista/completo/2019/30/61
16. Hecker A, Hecker B, Hecker M, Riedel JG, Weigand MA, Padberg W. Acute abdominal compartment syndrome: current diagnostic and therapeutic options. Langenbecks Arch Surg [en línea]. 2016 [citado 18 Ago 2019]; 401(1):15-24. Disponible en: https://emedicine.medscape.com/article/26518567-overview
17. Borre ND, Almanza HA, Dueñas CC, Ortiz RG. La monitorización intraabdominal, una medida olvidada en UCI. Acta Colomb Cuid Intens [en línea]. 2018 [citado 18 Ago 2019]; 18(1):31-42. DOI: https://doi.org/10.1016/j.acci.2017.10.009
18. Hunt L, Frost SA, Newton PJ, Salamonson Y, Davidson PM. A survey of critical care nurses’ knowledge of intra-abdominal hypertension and abdominal compartment syndrome. Aust Crit Care [en línea]. 2016 [citado 18 Ago 2019]; 17(3). Disponible en: http://refhub.elsevier.com/S0122-7262(17)30055-1/sbref0275
19. Paola ALA, Solano MH, Rojas MVM. Síndrome Compartimental, generalidades, consenso diagnóstico y técnica quirúrgica. Rev Cl EMed UCR – HSJD [en línea]. 2018 [citado 18 Ago 2019]; 8(11):11-24. Disponible en: https://www.medigraphic.com/pdfs/revcliescmed/ucr-2018/ucr182e.pdf
20. Prasad GR, Subba Rao JV, Aziz A, Rashmi TM. The Role of Routine Measurement of Intra-abdominal Pressure in Preventing Abdominal Compartment Syndrome. J Indian Assoc Pediatr Surg [en línea]. 2017 Sep [citado 18 Ago 2019]; 22(3):134-138. DOI: http://dx.doi.org/10.4103/jiaps.JIAPS_222_15
21. Van Damme L, De Waele JJ. Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis. Crit Care Jul [en línea]. 2018 [citado 18 Ago 2019]; 22(1):179. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/30045753
22. Gray S, Christensen M, Craft J. The gastro-renal effects of intraabdominal hypertension: Implications for critical care nurses. Intensive Crit Care Nurs [en línea]. 2018 Oct [citado 18 Ago 2019]; 48:69-74. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29937073
23. Campos MMA, Villarreal RE, Chimal TM, Pozas MJA. Presión intraabdominal como predictor de cirugía en pacientes con dolor abdominal agudo. Rev Med Inst Mex Seg Soc [en línea]. 2016 [citado 18 Ago 2019]; 54(3):280-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/27100971
24. Reintam BAR, Malbrain MLNG, Starkopf J, Fruhwald S, De Waele J, Braun JP, et al. Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM working group on abdominal problems. Int Care Med [en línea]. 2019 [citado 18 Ago 2019]; 38(3):384-94. DOI: http://doi:10.1007/s00134-011-2459-y
25. Rogers WK, Garcia L. Intra-Abdominal Hypertension, Abdominal Compartment Syndrome, and the Open Abdomen. Chest [en línea]. 2018 Aug [citado 18 Ago 2019]; 153(1):238-250. DOI: http://dx.doi.org/10.1016/j.chest.2017.07.023
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Published
2020-02-17
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1.
Reynosa-Aguilar Y, Elías-Armas KS, Vega-Fuentes JO, Fernández-Llombar JO, Céspedes-Pereña V. Intra-abdominal hypertension and abdominal compartment syndrome in the severe patient. Rev Inf Cient [Internet]. 2020 Feb. 17 [cited 2025 Apr. 22];99(1):78-8. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/2688
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