| Title |
Intraabdominalinė hipertenzija ir pilvo suspaudimo sindromas: diagnostika, įtaka organų veiklai ir gydymas / |
| Another Title |
Intra-abdominal hypertension and the abdominal compartment syndrome: diagnostics, effects on organ function and management. |
| Authors |
Šerpytis, Mindaugas ; Šabliauskas, Jurij ; Ščupakova, Nadežda ; Šipylaitė, Jūratė ; Strupas, Kęstutis |
| DOI |
10.15388/LietChirur.2014.1.2952 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija. 2014, t. 13, nr. 1, p. 7-18.. ISSN 1392-0995 |
| Keywords [eng] |
intra-abdominal hypertension ; intra-abdominal pressure ; abdominal compartment syndrome ; multiple organ dysfunction syndrome ; decompressive laparotomy |
| Abstract [eng] |
The multiple organ dysfunction syndrome is one of the main causes of death in intensive care units. The more organ systems are injured the higher are mortality rates. Although there has been a significant progress in treating the multiple organ dysfunction syndrome (modern modes of mechanical lung ventilation, kidney, liver replacement therapy, extracorporeal membrane oxygenation and other techniques), the mortality rate in patients with more than four organ failures exceeds 70%. Therefore, it is reasonable to pay more attention to the prevention and early recognition of a critical illness. When the measurement of intra-abdominal pressure gradually became available in day-to-day practice, an increasing number of experimental animal testing and clinical trials have proved detrimental effects of the elevated intra-abdominal pressure on all organ systems and its role in the pathogenesis of the multiple organ dysfunction syndrome. In this review, we summarize the current literature data concerning the definitions, etiology and risk factors of intra-abdominal hypertension and the abdominal compartment syndrome as well as different techniques to measure the intra-abdominal pressure. We also discuss the pathophysiological implications of intra-abdominal hypertension on organ function and current treatment trends. |
| Published |
Vilnius : Lietuvos chirurgų asociacija |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2014 |
| CC license |
|
