Abdominal Decompression in Children
Abdominal compartment syndrome (ACS) increases the risk for mortality in critically ill children. It occurs in association with a wide variety of medical and surgical diagnoses. Management of ACS involves recognizing the development of intra-abdominal hypertension (IAH) by intra-abdominal pressure (...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/180797 |
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| _version_ | 1832558158385512448 |
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| author | J. Chiaka Ejike Mudit Mathur |
| author_facet | J. Chiaka Ejike Mudit Mathur |
| author_sort | J. Chiaka Ejike |
| collection | DOAJ |
| description | Abdominal compartment syndrome (ACS) increases the risk for mortality in critically ill children. It occurs in association with a wide variety of medical and surgical diagnoses. Management of ACS involves recognizing the development of intra-abdominal hypertension (IAH) by intra-abdominal pressure (IAP) monitoring, treating the underlying cause, and preventing progression to ACS by lowering IAP. When ACS is already present, supporting dysfunctional organs and decreasing IAP to prevent new organ involvement become an additional focus of therapy. Medical management strategies to achieve these goals should be employed but when medical management fails, timely abdominal decompression is essential to reduce the risk of mortality. A literature review was performed to understand the role and outcomes of abdominal decompression among children with ACS. Abdominal decompression appears to have a positive effect on patient survival. However, prospective randomized studies are needed to fully understand the indications and impact of these therapies on survival in children. |
| format | Article |
| id | doaj-art-228d35bc0dc041b49dc6b3a16ee05c79 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-228d35bc0dc041b49dc6b3a16ee05c792025-02-03T01:33:04ZengWileyCritical Care Research and Practice2090-13052090-13132012-01-01201210.1155/2012/180797180797Abdominal Decompression in ChildrenJ. Chiaka Ejike0Mudit Mathur1Division of Pediatric Critical Care, Department of Pediatrics, School of Medicine, Loma Linda University, Loma Linda, CA 92354, USADivision of Pediatric Critical Care, Department of Pediatrics, School of Medicine, Loma Linda University, Loma Linda, CA 92354, USAAbdominal compartment syndrome (ACS) increases the risk for mortality in critically ill children. It occurs in association with a wide variety of medical and surgical diagnoses. Management of ACS involves recognizing the development of intra-abdominal hypertension (IAH) by intra-abdominal pressure (IAP) monitoring, treating the underlying cause, and preventing progression to ACS by lowering IAP. When ACS is already present, supporting dysfunctional organs and decreasing IAP to prevent new organ involvement become an additional focus of therapy. Medical management strategies to achieve these goals should be employed but when medical management fails, timely abdominal decompression is essential to reduce the risk of mortality. A literature review was performed to understand the role and outcomes of abdominal decompression among children with ACS. Abdominal decompression appears to have a positive effect on patient survival. However, prospective randomized studies are needed to fully understand the indications and impact of these therapies on survival in children.http://dx.doi.org/10.1155/2012/180797 |
| spellingShingle | J. Chiaka Ejike Mudit Mathur Abdominal Decompression in Children Critical Care Research and Practice |
| title | Abdominal Decompression in Children |
| title_full | Abdominal Decompression in Children |
| title_fullStr | Abdominal Decompression in Children |
| title_full_unstemmed | Abdominal Decompression in Children |
| title_short | Abdominal Decompression in Children |
| title_sort | abdominal decompression in children |
| url | http://dx.doi.org/10.1155/2012/180797 |
| work_keys_str_mv | AT jchiakaejike abdominaldecompressioninchildren AT muditmathur abdominaldecompressioninchildren |