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
. 2020 May;66(5):520-523.
doi: 10.1097/MAT.0000000000001045.

Early Decompressive Laparotomy for Intra-Abdominal Hypertension Following Initiation of Venovenous Extracorporeal Membrane Oxygenation

Francesca M Boulos  1 , Chetan Pasrija  1 , Laura DiChiacchio  1 , Michael Rouse  1 , Maxwell Raithel  1 , Kristen Mackowick  1 , Raymond Rector  2 , Michael A Mazzeffi  3 , Bartley P Griffith  1 , Jose J Diaz  4 , Zachary N Kon  5 , Kristopher B Deatrick  1
Affiliations

Early Decompressive Laparotomy for Intra-Abdominal Hypertension Following Initiation of Venovenous Extracorporeal Membrane Oxygenation

Francesca M Boulos et al. ASAIO J. 2020 May.

Abstract

Patients supported with venovenous extracorporeal membrane oxygenation are at risk for intra-abdominal hypertension and abdominal compartment syndrome. Flow through the return cannula may be compromised in these patients, resulting in inadequate support and end-organ malperfusion. Early decompressive laparotomy can mitigate these complications and potentially improve outcomes. Here we review a series of nine patients undergoing early decompressive laparotomy for abdominal compartment syndrome at a single institution and propose an algorithmic approach to the management of these patients.

PubMed Disclaimer

References

    1. Augustin P, Lasocki S, Dufour G, et al. Abdominal compartment syndrome due to extracorporeal membrane oxygenation in adults. Ann Thorac Surg 2010.90: e40–e41.
    1. Okhuysen-Cawley R, Prodhan P, Imamura M, Dedman AH, Anand KJ. Management of abdominal compartment syndrome during extracorporeal life support. Pediatr Crit Care Med 2007.8: 177–179.
    1. Björck M, Wanhainen A. Management of abdominal compartment syndrome and the open abdomen. J Vasc Surg 2014.59: 874.
    1. Brunicardi FC, Schwartz SI. Schwartz’s Principles of Surgery. 2005.New York, NY, McGraw-Hill, Health Pub. Division.
    1. Kirkpatrick AW, Roberts DJ, De Waele J, et al.; Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome: Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the world society of the abdominal compartment syndrome. Intensive Care Med 2013.39: 1190–1206.

LinkOut - more resources