Abdominal Compartment Syndrome

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Q) What is not a management option in Abdominal compartment syndrome

a) Drainage of Intra abdominal collections

b) Muscle relaxation

c) Mesh closure

d) High PEEP

Ans d)  

Intra Abdominal Hypertension leads to Abdominal Compartment syndrome.

The decision to intervene surgically is not based on IAH alone but rather on the presence of organ dysfunction in association with IAH. Few patients with a pressure of 12 mm Hg have any organ dysfunction, whereas IAP greater than 15 to 20 mm Hg is significant in every patient

With grade III IAH, decompression may be considered when the abdomen is tense and signs of extreme ventilatory dysfunction and oliguria develop. In grade IV IAH, with signs of ventilator and renal failure, decompression is indicated

Measures to lower IAH are implemented are 

• Drainage of intra-abdominal fluid collections

• Muscle relaxation Avoid primary closure of the incision—laparotomy or mesh, Bogota bag, biologic mesh, or vacuum-assisted closure.

 

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