Pathophysiology and Critical Care of Abdominal Compartment Syndrome Authors
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- Otani Shunsuke
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
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- Oda Shigeto
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
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- Watanabe Eizo
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
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- Abe Ryuzo
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
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- Oshima Taku
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
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- Hattori Noriyuki
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
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- Nakamura Shiho
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
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- Matsumura Yosuke
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
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- Hashida Tomoaki
- Department of Emergency and Critical Care Medicine, Chiba University Graduate school of Medicine
Bibliographic Information
- Other Title
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- Abdominal Compartment Syndromeの病態と集中治療
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Abstract
Normal intra-abdominal pressure (IAP), usually measured indirectly as intra-bladder pressure, is in the range of 5-7 mmHg. Sustained high IAP (≥12 mmHg) is termed intra-abdominal hypertension (IAH), and the abdominal compartment syndrome (ACS) is defined as sustained IAH (>20 mmHg) complicated by novel organ failure or dysfunction. ACS is categorized according to the cause into three types; primary, secondary, and recurrent ACS. Primary ACS is of abdominal origin, such as that caused by blunt abdominal trauma and acute pancreatitis. Secondary ACS is of extra-abdominal origin, such as that caused by severe burns, multiple trauma requiring massive fluid and blood administration, etc. Recurrent ACS occurs following closure of the distended abdomen due to primary or secondary ACS. A stepwise approach has been suggested for the management of ACS; 1) emptying of the gastrointestinal tract, 2) drainage of intra-abdominal fluids, 3) improvement of the abdominal wall compliance, 4) optimization of fluid administration, and 5) adjustment of local and systemic tissue perfusion. For refractory ACS, aggressive open abdominal management is warranted. Recently, damage control resuscitation, or restrictive fluid management to avoid ACS has been recommended, especially for cases of ACS complicating abdominal trauma. Novel closure methods for open abdomen have also been proposed to avoid recurrent ACS.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 33 (5), 823-827, 2013
Japanese Society for Abdominal Emergency Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390001204735003776
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- NII Article ID
- 10031196069
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed