Current Approach to the Evaluation and Management of Abdominal Compartment Syndrome in Pediatric Patients

Pediatr Emerg Care. 2019 Dec;35(12):874-878. doi: 10.1097/PEC.0000000000001992.

Abstract

Abdominal compartment syndrome is an emergent condition caused by increased pressure within the abdominal compartment. It can be caused by a number of etiologies, which are associated with decreased abdominal wall compliance, increased intraluminal or intraperitoneal contents, or edema from capillary leak or fluid resuscitation. The history and physical examination are of limited utility, and the criterion standard for diagnosis is intra-abdominal pressure measurement, which is typically performed via an intravesical catheter. Management includes increasing abdominal wall compliance, evacuating gastrointestinal or intraperitoneal contents, avoiding excessive fluid resuscitation, and decompressive laparotomy in select cases.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Abdominal Wall / physiopathology
  • Administration, Intravesical
  • Catheters / standards
  • Child
  • Compartment Syndromes / epidemiology*
  • Compartment Syndromes / mortality
  • Compartment Syndromes / physiopathology
  • Compartment Syndromes / therapy*
  • Decompression, Surgical / adverse effects
  • Drainage / methods
  • Fluid Therapy / adverse effects*
  • Humans
  • Incidence
  • Intra-Abdominal Hypertension / complications*
  • Intra-Abdominal Hypertension / diagnosis
  • Laparotomy / methods
  • Mortality / trends
  • Pediatricians / statistics & numerical data
  • Risk Factors
  • Surveys and Questionnaires