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The clinical importance of monitoring intra-abdominal pressure after ruptured abdominal aortic aneurysm repair

Björck, M; Wanhainen, A; Djavani, K and Acosta, Stefan LU (2008) In Scandinavian Journal of Surgery 97(2). p.183-190
Abstract
Aim: The aim of this paper was to review the literature on the clinical importance of monitoring intra-abdominal pressure (IAP) after ruptured abdominal aortic aneurysm (rAAA) repair. Method: The literature was searched for abdominal compartment syndrome (ACS) or intra-abdominal pressure and aortic aneurysm. Original articles were studied. Personal experiences were reported. Results: The Consensus Documents of the World Society on the Abdominal Compartment Syndrome (wsacs.org), with their definitions and guidelines, constitute an important step forward for the possibilities to study this clinical entity. Few papers were published describing the problem specifically in the patient population operated on for ruptured abdominal aortic... (More)
Aim: The aim of this paper was to review the literature on the clinical importance of monitoring intra-abdominal pressure (IAP) after ruptured abdominal aortic aneurysm (rAAA) repair. Method: The literature was searched for abdominal compartment syndrome (ACS) or intra-abdominal pressure and aortic aneurysm. Original articles were studied. Personal experiences were reported. Results: The Consensus Documents of the World Society on the Abdominal Compartment Syndrome (wsacs.org), with their definitions and guidelines, constitute an important step forward for the possibilities to study this clinical entity. Few papers were published describing the problem specifically in the patient population operated on for ruptured abdominal aortic aneurysm (rAAA). The incidence was approximately 5% when the patients were not monitored with IAP, and above 10% when IAP was monitored. The incidence seems to be similar irrespective if open or endovascular repair is performed, though comparative prospective studies were not published. Patients with intra-abdominal hypertension (IAH) or ACS have higher mortality and more complications. If IAH is recognized early conservative treatment may be effective to prevent development of ACS. After ACS has developed, surgical decompression is usually required. A proposed algorithm on how to act on different levels of IAH is presented. Conclusions: IAH/ACS is an important complication after operation on patients with rAAA. Monitoring IAP may be associated with improved outcomes. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
abdominal compartment syndrome, endovascular repair, rupture, aortic aneurysm - abdominal, surgery, intra-abdominal pressure, abdominal, perfusion pressure
in
Scandinavian Journal of Surgery
volume
97
issue
2
pages
183 - 190
publisher
Finnish Surgical Society
external identifiers
  • wos:000256057700024
  • scopus:44949143011
ISSN
1799-7267
language
English
LU publication?
yes
id
a65c9334-3f54-4806-8d2a-d64fedf2f50a (old id 1202208)
date added to LUP
2008-09-15 16:05:17
date last changed
2017-04-09 03:31:35
@article{a65c9334-3f54-4806-8d2a-d64fedf2f50a,
  abstract     = {Aim: The aim of this paper was to review the literature on the clinical importance of monitoring intra-abdominal pressure (IAP) after ruptured abdominal aortic aneurysm (rAAA) repair. Method: The literature was searched for abdominal compartment syndrome (ACS) or intra-abdominal pressure and aortic aneurysm. Original articles were studied. Personal experiences were reported. Results: The Consensus Documents of the World Society on the Abdominal Compartment Syndrome (wsacs.org), with their definitions and guidelines, constitute an important step forward for the possibilities to study this clinical entity. Few papers were published describing the problem specifically in the patient population operated on for ruptured abdominal aortic aneurysm (rAAA). The incidence was approximately 5% when the patients were not monitored with IAP, and above 10% when IAP was monitored. The incidence seems to be similar irrespective if open or endovascular repair is performed, though comparative prospective studies were not published. Patients with intra-abdominal hypertension (IAH) or ACS have higher mortality and more complications. If IAH is recognized early conservative treatment may be effective to prevent development of ACS. After ACS has developed, surgical decompression is usually required. A proposed algorithm on how to act on different levels of IAH is presented. Conclusions: IAH/ACS is an important complication after operation on patients with rAAA. Monitoring IAP may be associated with improved outcomes.},
  author       = {Björck, M and Wanhainen, A and Djavani, K and Acosta, Stefan},
  issn         = {1799-7267},
  keyword      = {abdominal compartment syndrome,endovascular repair,rupture,aortic aneurysm - abdominal,surgery,intra-abdominal pressure,abdominal,perfusion pressure},
  language     = {eng},
  number       = {2},
  pages        = {183--190},
  publisher    = {Finnish Surgical Society},
  series       = {Scandinavian Journal of Surgery},
  title        = {The clinical importance of monitoring intra-abdominal pressure after ruptured abdominal aortic aneurysm repair},
  volume       = {97},
  year         = {2008},
}