The Abdomen in “Thoracoabdominal” Cannot Be Ignored: Abdominal Compartment Syndrome Complicating Extracorporeal Life Support
Extracorporeal life support (ECLS) is an incredible life-saving measure that is being used ever more frequently in the care of the critically ill. Management of these patients requires extreme vigilance on the part of the care providers in recognizing and addressing the complications and challenges...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2014/351340 |
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| _version_ | 1849399840651345920 |
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| author | Arthur J. Lee Bryan J. Wells Rosaleen Chun Chad G. Ball Andrew. W. Kirkpatrick |
| author_facet | Arthur J. Lee Bryan J. Wells Rosaleen Chun Chad G. Ball Andrew. W. Kirkpatrick |
| author_sort | Arthur J. Lee |
| collection | DOAJ |
| description | Extracorporeal life support (ECLS) is an incredible life-saving measure that is being used ever more frequently in the care of the critically ill. Management of these patients requires extreme vigilance on the part of the care providers in recognizing and addressing the complications and challenges that may arise. We present a case of overt abdominal compartment syndrome (ACS) in a previously well young male on ECLS with a history of trauma, submersion, hypothermia, and no intra-abdominal injuries. The patient developed ACS soon after ECLS was initiated which resulted in drastically compromised flow rates. Taking into account the patient’s critical status, an emergent laparotomy was performed in the intensive care unit which successfully resolved the ACS and restored ECLS flow. The patient had an unremarkable course following and was weaned off ECLS but unfortunately died from his original anoxic injury. This case highlights several salient points: first, care of patients on ECLS is challenging and multiple etiologies can affect our ability to manage these patients; second, intra-abdominal pressures should be monitored liberally in the critically ill, especially in patients on ECLS; third, protocols for emergent operative treatment outside of traditional operating rooms should be established and care providers should be prepared for these situations. |
| format | Article |
| id | doaj-art-a49c4ebaf427419fa9bc0e7a38888849 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-a49c4ebaf427419fa9bc0e7a388888492025-08-20T03:38:14ZengWileyCase Reports in Critical Care2090-64202090-64392014-01-01201410.1155/2014/351340351340The Abdomen in “Thoracoabdominal” Cannot Be Ignored: Abdominal Compartment Syndrome Complicating Extracorporeal Life SupportArthur J. Lee0Bryan J. Wells1Rosaleen Chun2Chad G. Ball3Andrew. W. Kirkpatrick4University of Calgary, Calgary, AB, CanadaUniversity of Calgary, Calgary, AB, CanadaUniversity of Calgary, Calgary, AB, CanadaUniversity of Calgary, Calgary, AB, CanadaUniversity of Calgary, Calgary, AB, CanadaExtracorporeal life support (ECLS) is an incredible life-saving measure that is being used ever more frequently in the care of the critically ill. Management of these patients requires extreme vigilance on the part of the care providers in recognizing and addressing the complications and challenges that may arise. We present a case of overt abdominal compartment syndrome (ACS) in a previously well young male on ECLS with a history of trauma, submersion, hypothermia, and no intra-abdominal injuries. The patient developed ACS soon after ECLS was initiated which resulted in drastically compromised flow rates. Taking into account the patient’s critical status, an emergent laparotomy was performed in the intensive care unit which successfully resolved the ACS and restored ECLS flow. The patient had an unremarkable course following and was weaned off ECLS but unfortunately died from his original anoxic injury. This case highlights several salient points: first, care of patients on ECLS is challenging and multiple etiologies can affect our ability to manage these patients; second, intra-abdominal pressures should be monitored liberally in the critically ill, especially in patients on ECLS; third, protocols for emergent operative treatment outside of traditional operating rooms should be established and care providers should be prepared for these situations.http://dx.doi.org/10.1155/2014/351340 |
| spellingShingle | Arthur J. Lee Bryan J. Wells Rosaleen Chun Chad G. Ball Andrew. W. Kirkpatrick The Abdomen in “Thoracoabdominal” Cannot Be Ignored: Abdominal Compartment Syndrome Complicating Extracorporeal Life Support Case Reports in Critical Care |
| title | The Abdomen in “Thoracoabdominal” Cannot Be Ignored: Abdominal Compartment Syndrome Complicating Extracorporeal Life Support |
| title_full | The Abdomen in “Thoracoabdominal” Cannot Be Ignored: Abdominal Compartment Syndrome Complicating Extracorporeal Life Support |
| title_fullStr | The Abdomen in “Thoracoabdominal” Cannot Be Ignored: Abdominal Compartment Syndrome Complicating Extracorporeal Life Support |
| title_full_unstemmed | The Abdomen in “Thoracoabdominal” Cannot Be Ignored: Abdominal Compartment Syndrome Complicating Extracorporeal Life Support |
| title_short | The Abdomen in “Thoracoabdominal” Cannot Be Ignored: Abdominal Compartment Syndrome Complicating Extracorporeal Life Support |
| title_sort | abdomen in thoracoabdominal cannot be ignored abdominal compartment syndrome complicating extracorporeal life support |
| url | http://dx.doi.org/10.1155/2014/351340 |
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