Abdominal compartment syndrome related to noninvasive ventilation

Intensive Care Med. 2003 Jul;29(7):1177-81. doi: 10.1007/s00134-003-1806-z. Epub 2003 May 22.


Objective: To study the effects of noninvasive positive pressure ventilation (NIPPV) on intra-abdominal pressure.

Design and setting: Single case report from a tertiary teaching hospital.

Patients and methods: A 65-year-old man who experienced a sudden respiratory and cardiovascular collapse during NIPPV. This was caused by gastric overdistension due to aerophagia followed by raised intra-abdominal pressure leading to intra-abdominal hypertension and abdominal compartment syndrome.

Results: The respiratory and cardiovascular problems resolved immediately after the introduction of a nasogastric tube. This resulted in normalization of IAP.

Conclusions: This is the first case reported of an abdominal compartment syndrome related to NIPPV. Clinicians should be aware of this possible complication while using NIPPV.

Publication types

  • Case Reports

MeSH terms

  • Abdomen / physiopathology
  • Aerophagy / complications
  • Aerophagy / diagnostic imaging
  • Aged
  • Belgium
  • Compartment Syndromes / diagnostic imaging
  • Compartment Syndromes / etiology*
  • Humans
  • Male
  • Positive-Pressure Respiration / adverse effects*
  • Radiography