Primary IAH/ACS

Decreased Abdominal Wall Compliance

  • Abdominal surgery
  • Prone positioning
  • Major trauma
  • Major burns

Increased Intra-luminal Contents

  • Gastroparesis / gastric distension
  • Ileus / colonic pseudo-obstruction
  • Volvulus

Increased Intra-luminal Contents

  • Acute pancreatitis
  • Haemoperitoneum / pneumoperitoneum / intrabdominal fluid collection
  • Intra-abdominal infection / abscess
  • Liver dysfunction with ascites
  • Intra-abdominal /retroperitoneal tumour
  • Peritoneal dialysis
Secondary IAH/ACS

Capillary Leak / Fluid Resuscitation

  • Sepsis
  • Acidosis
  • Hypothermia
  • Increased APACHE score
  • Massive fluid resuscitation
  • Polytransfusion
  • Major trauma / burns

Capillary Leak / Fluid Resuscitation

  • Obesity
  • High PEEP
  • Pneumonia
  • Coagulopathy