An Update on Intra-abdominal Hypertension and Abdominal Compartment Syndrome in children
Journal Title: Journal Of Pediatric Critical Care - Year 2016, Vol 3, Issue 4
Abstract
The concept of intra-abdominal hypertension and abdominal compartment syndrome is relatively new, but increasing awareness and evolving management strategies have been instrumental in reducing mortality by nearly half in critically ill patients with this condition. The thresholds for intraabdominal hypertension and abdominal compartment syndrome in children are different from adults. When intraabdominal pressure increases, it affects both abdominal and extra-abdominal organs. This needs to be recognised, the vicious cycle of poor perfusion and increasing intraabdominal pressure which ultimately leads to ischemic cellular necrosis. Focus has gradually shifted from treatment to prevention of progress of intraabdominal hypertension. Various non invasive methods can be used effectively to decrease intra-abdominal pressure, but surgical decompression is essential when organ dysfunction and abdominal compartment syndrome set in. This review describes the definitions, risk factors, pathophysiology and management strategies for increased intra-abdominal pressure in children.
Authors and Affiliations
Veena Raghunathan, Maninder Singh Dhaliwal, Praveen Khilnani, Yatin Mehta
ECMO Extra corporeal membrane oxygenation Guest Editorial
.
Clinical profile and predictors of outcome of patients with diphtheria in tertiary care pediatric center from Southern India
.
Effect of Chlorhexidine Mouth Cleanser and Head End Elevation on the Incidence of Ventilator Associated Pneumonia - A one year randomised controlled trial
-
Hypernatremia
Total body water is distributed in the body as two-third in ICF and one-third in ECF which are divided by a cell membrane. ECF is further divided into effective arterial or plasma volume (25-30%) and interstitial volume...
Incidence and Severity Profile of Viral Respiratory Tract Infections in Children Admitted to the Tertiary Level Pediatric Intensive Care Unit
.