SOE 089: Abdominal Compartment Syndrome

Introduction A 23-year-old man is admitted to the intensive care following damage control laparotomy for a gunshot wound to the abdomen. He required massive transfusion intraoperatively. You are concerned that he has an increasingly tense and distended...

What is Intra-abdominal hypertension (IAH)and how is it graded?

IAH is defined by the World Society of Abdominal Compartment Syndrome as: A sustained or repeated pathological elevation in IAP >12 mmHg It is graded according according to pressure: Grade I Grade II Grade III Grade IV 12-15 mmHg 16-20 mmHg 21-25 mmHg >25...

How common is IAH and ACS?

Commonly seen in ventilated critically ill patients A large prospective study of at-risk critical care patients found an incidence of: 33% of patients developing intrabdominal hypertension 3.6% of patients developing abdominal compartment...