| Popis: |
There is growing evidence showing that intra-abdominal hypertension (IAH) is extremely important in the care of critically ill patients. This phenomenon can evolve to the end-stage abdominal compartment syndrome (ACS) with a serious impact on the function of respiratory system and other vital organs. ACS can escalate lung injury and increase intrathoracic pressures, leading to atelectasis, airway closure, and deterioration of respiratory mechanics and gas exchange. Abdominal compartment syndrome is a particular challenge for mechanical ventilation. It is the only extrathoracic entity that can significantly decrease the compliance of the respiratory system and is increasingly recognized in critically ill patients. In this chapter we will review in detail the consequences of raised intra-abdominal pressure as a cause of respiratory failure and comment on what is known about mechanical ventilation in these patients. |
