The Internet Book of Critical Care Podcast IBCC Episode 28 - Abdominal Compartment Syndrome
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Mar 14, 2019 The podcast discusses the diagnosis and treatment of abdominal compartment syndrome, including risk factors, manifestations, and treatment options. It explores the relationship between abdominal compartment syndrome and intracranial pressure, and discusses different techniques for decompressing the abdomen. The importance of primary prevention and alternative therapies for managing abdominal compartment syndrome is also highlighted.
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Abdominal Compartment Syndrome Prevalence
- Abdominal compartment syndrome occurs in about 10% of ICU patients, making it a common but often missed condition.
- It is categorized into primary (due to abdominal pathology) and secondary (due to systemic inflammation and fluid overload).
Multi-Organ Impact of Syndrome
- Abdominal compartment syndrome causes multi-organ failure by impairing cardiovascular, respiratory, renal function, and increasing intracranial pressure.
- Organs are compressed and perfusion is impaired, making this a critical but systemic issue.
Proper Diagnosis Technique
- Measure abdominal compartment pressure to diagnose; physical exam alone is unreliable.
- Ensure patient is supine, relaxed, and measure at end expiration for accurate results.