ABDOMINAL COMPARTIMENTAL SYNDROME: A CONCISE CLINICAL REVIEW 0 By A. Di Benedetto,A. Cortegiani,G. Angelo,N. Lo Biundo, P. Damiani,A. Ciulla2,A. Geraci,G. Tomasello on July 21, 2009 Capsula eBurnea The abdominal compartment syndrome (ACS) is considered as the result of hypoperfusionand ischemia of intra-abdominal viscera with multiple organ failure due to raisedintra-abdominal pressure (IAP). This syndrome is very difficult to identify because itusually occurs in critically ill patients in Intensive Care Units. Normal IAP ranges between0 and 5 mmHg. When it is mildly increased (10-15 mmHg), cardiac index ismaintained or lightly increased due to the abdominal viscera squeezing and venousreturn increasing. In this phase intravascular gradient volume will probably be correctspontaneously. At 15-25 mmHg, intra-abdominal pressure is moderately increased andthe full syndrome may be observed, but can be still corrected with simple interventions.At higher pressures (>25mmHg) it must be realized surgical decompression,fluid resuscitation together with vasoconstrictive agents. Current diagnostic proceduresfor intra-abdominal measurement relies on bladder pressure’s evaluation. Alessandro Geraci Ambra Di Benedetto Andrea Cortegiani Antonio Ciulla Giovanni Tomasello Giuseppe Angelo Nicola Lo Biundo Provvidenza Damiani Share. Twitter Facebook Google+ Pinterest LinkedIn Tumblr Email
December 31, 2011 0 SCAR REVISION PRINCIPLES APPLIED TO EXCISIONAL,IRREGULARIZATION & V-TO-Y ADVANCEMENT FLAP TECHNIQUES
December 31, 2011 0 THE ROLE OF FENTANYL CITRATE DURING ADJUVANT RADIATION THERAPY FOR BONE METASTASES
