sfgh 2.29 am report pearls: abdominal compartment syndrome

  • NG tube placement with known varices: In a study of 75 patients with documented esophageal varices, significant coagulopathies, and a high incidence of previous upper gastrointestinal bleeding, no patient developed gastrointestinal hemorrhage as a result of blind NG tube (or esophageal stethoscope) placement

From the World Society of the Abdominal Compartment Syndrome:

  • Abdominal compartment syndrome is defined as a sustained intraabdominal pressure (IAP)> 20 mmHg that is associated with new organ dysfunction/failure
  • The reference standard for intermittent IAP measurements is via the bladder with a maximal instillation volume of 25 mL of sterile saline, and should be measured at end-expiration in the supine position
  • compartment syndrome

D.M. Ritter, S.R. Rettke, R.W. Hughes Jr., M.F. Burritt, S. Sterioff, D.M. Ilstrup.  Placement of nasogastric tubes and esophageal stethoscopes in patients with documented esophageal varices.  Anesth Analg, 67 (1988), pp. 283–285

Kirkpatrick AW, Roberts DJ, De Waele J, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Medicine. 2013;39(7):1190-1206. doi:10.1007/s00134-013-2906-z.

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