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Abdominal Compartment SyndromeAbdominal Compartment Syndrome: Toward Less-Invasive Management

David J. Dries, MD
Author and Funding Information

From the Department of Surgery, HealthPartners Medical Group, and the University of Minnesota.

Correspondence to: David J. Dries, MD, Regions Hospital, 640 Jackson St, #11503C, St. Paul, MN 55101; e-mail: david.j.dries@healthpartners.com

Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Financial/nonfinancial disclosures: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


Chest. 2011;140(6):1396-1398. doi:10.1378/chest.11-2350
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Extract

Deleterious elevation of intraabdominal pressure (IAP) to the level of hypertension or abdominal compartment syndrome (ACS) was described over 15 years ago as anterior distention with elevated peak airway pressures, CO2 retention, and oliguria leading to unplanned reexploration after operation for abdominal injury. In these reports, a lethal reperfusion syndrome was sometimes seen at the time of abdominal decompression. Mortality in these patients exceeded 60%.1,2

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