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This document discusses abdominal compartment syndrome (ACS). It defines ACS as organ dysfunction resulting from intra-abdominal hypertension where intra-abdominal pressure is greater than 20 mm Hg. ACS can be primary, from direct intra-abdominal pathology, or secondary from overaggressive resuscitation causing edema. Consequences of ACS include upward displacement of the diaphragm, decreased thoracic volume and oxygenation, compression of the IVC reducing venous return, and direct compression of the kidneys reducing renal function. The document provides examples of questions that could be asked to test understanding of ACS.
This document discusses abdominal compartment syndrome (ACS). It defines ACS as organ dysfunction resulting from intra-abdominal hypertension where intra-abdominal pressure is greater than 20 mm Hg. ACS can be primary, from direct intra-abdominal pathology, or secondary from overaggressive resuscitation causing edema. Consequences of ACS include upward displacement of the diaphragm, decreased thoracic volume and oxygenation, compression of the IVC reducing venous return, and direct compression of the kidneys reducing renal function. The document provides examples of questions that could be asked to test understanding of ACS.
This document discusses abdominal compartment syndrome (ACS). It defines ACS as organ dysfunction resulting from intra-abdominal hypertension where intra-abdominal pressure is greater than 20 mm Hg. ACS can be primary, from direct intra-abdominal pathology, or secondary from overaggressive resuscitation causing edema. Consequences of ACS include upward displacement of the diaphragm, decreased thoracic volume and oxygenation, compression of the IVC reducing venous return, and direct compression of the kidneys reducing renal function. The document provides examples of questions that could be asked to test understanding of ACS.
• Secondary ACS: result of overaggressive resuscitation and/or edema
that results from ischemia/sepsis Abdominal Compartment Syndrome (3/3) • Consequences: • Upward displacement of diaphragm resulting in decreased thoracic volume, increased intrapleural pressure resulting in hypoxia, hypercapnia and acidosis
• Compression of IVC resulting in decreased venous return, decreased
preload and hence decreased cardiac output
• Direct compression of kidneys resulting in obstruction of renal venous
outflow, decrease in GFR and hence decreased UOP. A Picture Is Worth A 1000 Words ACS Question #1 ACS Question #1 ACS Question #2 ACS Question #2 ACS Question #3 ACS Question #3 Peak and Plateau Airway Pressures
• Resistance Pressure: pressure needed
to get air into lungs
• Plateau Pressure: pressure needed to
keep air in lungs
• Normal Peak Pressure = 25-30 cm H2O
• Question 1: Patient with Peak Airway Pressure of 60 cm H2O, but Plateau Pressure of 20 cm H2O. What’s going on?
• Question 2: Patient with Peak Airway Pressure of 60 cm H2O and Plateau
Pressure of 55 cm H2O. What’s going on? ACS Question #4 ACS Question #4 ACS Question #5 ACS Question #5
Very high index of suspicion for developing abdominal compartment syndrome.