Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Apr;4(2):279-91.
doi: 10.4103/0974-2700.82224.

Abdominal compartment syndrome - Intra-abdominal hypertension: Defining, diagnosing, and managing

Theodossis S Papavramidis  1 , Athanasios D Marinis, Ioannis Pliakos, Isaak Kesisoglou, Nicki Papavramidou
Affiliations

Abdominal compartment syndrome - Intra-abdominal hypertension: Defining, diagnosing, and managing

Theodossis S Papavramidis et al. J Emerg Trauma Shock. 2011 Apr.

Abstract

Abdominal compartment syndrome (ACS) and intra-abdominal hypertension (IAH) are increasingly recognized as potential complications in intensive care unit (ICU) patients. ACS and IAH affect all body systems, most notably the cardiac, respiratory, renal, and neurologic systems. ACS/IAH affects blood flow to various organs and plays a significant role in the prognosis of the patients. Recognition of ACS/IAH, its risk factors and clinical signs can reduce the morbidity and mortality associated. Moreover, knowledge of the pathophysiology may help rationalize the therapeutic approach. We start this article with a brief historic review on ACS/IAH. Then, we present the definitions concerning parameters necessary in understanding ACS/IAH. Finally, pathophysiology aspects of both phenomena are presented, prior to exploring the various facets of ACS/IAH management.

Keywords: Abdominal compartment syndrome; intra-abdominal hypertension; intra-abdominal pressure.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Intra-abdominal hypertension (IAH) assessment algorithm (Adapted from Intensive Care Med 2006;32:1722–32 & 2007;33:951-62)
Figure 2
Figure 2
Intra-abdominal hypertension (IAH) / abdominal compartment syndrome (ACS) management algorithm (Adapted from Intensive Care Med 2006;32:1722–32 & 2007;33:951-62)
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med. 2006;32:1722–32. - PubMed
    1. Volkmann R. On ischemic muscle paralysis and contraction. Centralblatt für Chirurgie. 1881;51:801–3.
    1. Marey E-J. Paris: A Delahaye; 1863. Medical physiology on the blood circulation; pp. 284–93.
    1. Bert P. Paris: JP Baillière;; 1870. Lessons on the physiology of respiration.
    1. Emerson H. Intra-abdominal pressures. Arch Intern Med. 1911;7:754–84.