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About Abdominal Compartment Syndrome PowerPoint Presentation

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Published on : Mar 14, 2014
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Slide 1 - CONSENSUS DEFINITIONS:Abdominal Compartment Syndrome Zsolt Balogh, MD Szeged, Hungary
Slide 2 - Abdominal Compartment Syndrome? Open Abdomen
Slide 3 - Abdominal Compartment Syndrome? Distended Abdomen
Slide 4 - Abdominal Compartment Syndrome? Damage control with abdominal packing
Slide 5 - Abdominal Compartment Syndrome IAH = graded based on the IAP ACS = All or Nothing diagnosis
Slide 6 - Abdominal Compartment Syndrome ACS = IAH + Organ dysfunctions Organ dysfunctions improve after decompression/ACS treatment
Slide 7 - Abdominal Compartment Syndrome Grade III-IV. IAH Organ dysfunctions: Pulmonary PaO2< 150 mmHg or PAP>45 cmH2O Cardiac CI< 3 L/min/m2 Renal UO< 1mL/kg/hr The figures are relevant in case of acute resuscitation
Slide 8 - Abdominal Compartment Syndrome Future definition: Abdominal perfusion pressure (APP) APP = MAP - IAP
Slide 9 - Abdominal Compartment SyndromeClassification Acute or Chronic Intra-peritoneal pathology? Etiology Primary (1°) Secondary (2°) YES NO
Slide 10 - Abdominal Compartment SyndromeClassification 66YO male requiring massive resuscitation after 55% BSA deep burn IAP: 33 mmHg, UO: 20 mL/hr, PAP: 52 cmH2O Acute or Chronic? Intra-peritoneal pathology? Etiology? Acute No: Secondary ACS Burn Acute post-burn secondary ACS