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About Abdominal Compartment Syndrome PowerPoint Presentation

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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

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