Continuous Monitoring of Intra-abdominal Pressure in Severe Acute Pancreatitis Leads to Early Detection of Abdominal Compartment Syndrome: A Case Report.
| Autor: | Akiode O; Department of Internal Medicine, Wyoming Medical Center, Casper, USA., Moll V; Anesthesiology, Emory University School of Medicine, Atlanta, USA., Schears G; Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Apr 29; Vol. 14 (4), pp. e24606. Date of Electronic Publication: 2022 Apr 29 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.24606 |
| Abstrakt: | Acute pancreatitis is a risk factor for intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). Immediate detection and management of IAH and ACS are critical for patient survival. Obtaining accurate and consistent intra-abdominal pressure and urinary output with high frequency is challenging, but critical for effective patient management. The presented case is of a 40-year-old man with a history of chronic alcoholism who developed severe acute pancreatitis. The patient was fluid resuscitated for distributive shock; hypoxic respiratory failure, intubation, and anuria followed. Real-time monitoring of urinary output and intra-abdominal pressure (IAP) allowed for early recognition of acute kidney injury (AKI) and ACS leading to early surgical intervention. Normalized IAP returned renal function and re-establishment of stable hemodynamics without vasopressors. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2022, Akiode et al.) |
| Databáze: | MEDLINE |
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