compartment syndromes

Summary

Summary: Conditions in which increased pressure within a limited space compromises the BLOOD CIRCULATION and function of tissue within that space. Some of the causes of increased pressure are TRAUMA, tight dressings, HEMORRHAGE, and exercise. Sequelae include nerve compression (NERVE COMPRESSION SYNDROMES); PARALYSIS; and ISCHEMIC CONTRACTURE.

Top Publications

  1. Nathan S, Roberts C, Deliberato D. Lumbar paraspinal compartment syndrome. Int Orthop. 2012;36:1221-7 pubmed publisher
    ..Prospective multicentre trials may provide the surgeon with more insight into the diagnosis and management of lumbar paraspinal compartment syndrome...
  2. Paryavi E, Jobin C, Ludwig S, Zahiri H, Cushman J. Acute exertional lumbar paraspinal compartment syndrome. Spine (Phila Pa 1976). 2010;35:E1529-33 pubmed publisher
    ..A case report and review of the literature...
  3. Strauss M. The effect of hyperbaric oxygen in crush injuries and skeletal muscle-compartment syndromes. Undersea Hyperb Med. 2012;39:847-55 pubmed
    ..Unfortunately, HBO2 is woefully neglected as an adjunct for managing crush injury and SMCS. Strong arguments exist for its use based on evidenced-based information and how HBO2 mitigates the pathology of these conditions...
  4. Balogh Z, Martin A, van Wessem K, King K, MacKay P, Havill K. Mission to eliminate postinjury abdominal compartment syndrome. Arch Surg. 2011;146:938-43 pubmed publisher
    ..To determine the current incidence of postinjury abdominal compartment syndrome (ACS), the effect of intra-abdominal hypertension (IAH) on trauma outcomes, and the independent predictors of postinjury IAH...
  5. Seternes A, Myhre H, Dahl T. Early results after treatment of open abdomen after aortic surgery with mesh traction and vacuum-assisted wound closure. Eur J Vasc Endovasc Surg. 2010;40:60-4 pubmed publisher
    ..This study aimed to describe the use of vacuum-assisted wound closure (VAWC) and mesh traction to repair an open abdomen after aortic surgery...
  6. Cheatham M, Safcsak K. Is the evolving management of intra-abdominal hypertension and abdominal compartment syndrome improving survival?. Crit Care Med. 2010;38:402-7 pubmed
  7. Sanghavi R, Aneman A, Parr M, Dunlop L, Champion D. Systemic capillary leak syndrome associated with compartment syndrome and rhabdomyolysis. Anaesth Intensive Care. 2006;34:388-91 pubmed
    ..This patient also highlights the importance of muscle compartment pressure monitoring during volume resuscitation in patients with SCLS...
  8. Suliburk J, Ware D, Balogh Z, McKinley B, Cocanour C, Kozar R, et al. Vacuum-assisted wound closure achieves early fascial closure of open abdomens after severe trauma. J Trauma. 2003;55:1155-60; discussion 1160-1 pubmed
    ..This study reviews the efficacy of vacuum-assisted wound closure (VAWC) to obtain primary fascial closure of open abdomens after severe trauma...
  9. De Waele J, Leppaniemi A. Intra-abdominal hypertension in acute pancreatitis. World J Surg. 2009;33:1128-33 pubmed publisher
    ..Because of the significant morbidity associated with surgical decompression and the management of the ensuing open abdomen, more research is needed to define better the appropriate indications and techniques for surgical intervention...

More Information

Publications62

  1. Cheatham M. Abdominal compartment syndrome: pathophysiology and definitions. Scand J Trauma Resusc Emerg Med. 2009;17:10 pubmed publisher
    ..The currently accepted consensus definitions surrounding the diagnosis and treatment of intra-abdominal hypertension and abdominal compartment syndrome are presented...
  2. Serpytis M, Ivaskevicius J. The influence of fluid balance on intra-abdominal pressure after major abdominal surgery. Medicina (Kaunas). 2008;44:421-7 pubmed
  3. Sturini E, Saporito A, Sugrue M, Parr M, Bishop G, Braschi A. Respiratory variation of intra-abdominal pressure: indirect indicator of abdominal compliance?. Intensive Care Med. 2008;34:1632-7 pubmed publisher
    ..Secondary issues were to assess the roles played by respiratory parameters in determining this oscillation and by patients' position in increasing their intra-abdominal pressure...
  4. De Waele J, De Laet I, De Keulenaer B, Widder S, Kirkpatrick A, Cresswell A, et al. The effect of different reference transducer positions on intra-abdominal pressure measurement: a multicenter analysis. Intensive Care Med. 2008;34:1299-303 pubmed publisher
    ..Three reference levels were studied: the symphysis pubis; the phlebostatic axis; and the midaxillary line at the level of the iliac crest...
  5. De Waele J, Hoste E, Malbrain M. Decompressive laparotomy for abdominal compartment syndrome--a critical analysis. Crit Care. 2006;10:R51 pubmed
    ..Surgical decompression through a midline laparotomy or decompressive laparotomy remains the sole definite therapy for ACS, but the effect of decompressive laparotomy has not been studied in large patient series...
  6. Reckard J, Chung M, Varma M, Zagorski S. Management of intraabdominal hypertension by percutaneous catheter drainage. J Vasc Interv Radiol. 2005;16:1019-21 pubmed
    ..The patient underwent ultrasound-guided drainage of the peripancreatic fluid, which decreased his abdominal pressures and improved his clinical status. Without this procedure, the patient may not have tolerated subsequent surgery...
  7. Maerz L, Kaplan L. Abdominal compartment syndrome. Crit Care Med. 2008;36:S212-5 pubmed publisher
    ..Diagnostic modalities and therapeutic interventions will be addressed as a means of reducing the frequency of acute kidney injury and acute renal failure in the critically ill...
  8. Moore A, Hargest R, Martin M, Delicata R. Intra-abdominal hypertension and the abdominal compartment syndrome. Br J Surg. 2004;91:1102-10 pubmed
    ..Abdominal compartment syndrome (ACS) occurs when intra-abdominal pressure is abnormally high in association with organ dysfunction. It tends to have a poor outcome, even when treated promptly by abdominal decompression...
  9. Leppaniemi A, Hienonen P, Siren J, Kuitunen A, Lindström O, Kemppainen E. Treatment of abdominal compartment syndrome with subcutaneous anterior abdominal fasciotomy in severe acute pancreatitis. World J Surg. 2006;30:1922-4 pubmed
    ..Managing the abdominal compartment syndrome associated with severe acute pancreatitis by the open abdomen method is associated with considerable morbidity and resource utilization...
  10. Boele van Hensbroek P, Wind J, Dijkgraaf M, Busch O, Goslings J, Carel Goslings J. Temporary closure of the open abdomen: a systematic review on delayed primary fascial closure in patients with an open abdomen. World J Surg. 2009;33:199-207 pubmed publisher
    ..In some cases of abdominal trauma or infection, edema or packing precludes fascial closure after laparotomy. This "open abdomen" must then be temporarily closed. However, the FC rate varies between techniques...
  11. Malbrain M. Is it wise not to think about intraabdominal hypertension in the ICU?. Curr Opin Crit Care. 2004;10:132-45 pubmed
    ..The aim was to find an answer to the question: "Is it wise not to measure or even not to think about intraabdominal hypertension in ICU?"..
  12. Siebig S, Iesalnieks I, Bruennler T, Dierkes C, Langgartner J, Schoelmerich J, et al. Recovery from respiratory failure after decompression laparotomy for severe acute pancreatitis. World J Gastroenterol. 2008;14:5467-70 pubmed
    ..ACS was discussed followed by a short review of the literature. Our cases show that DL may help patients with SAP to recover from severe respiratory failure...
  13. Keramati M, Srivastava A, Sakabu S, Rumbolo P, Smock M, Pollack J, et al. The Wittmann Patch s a temporary abdominal closure device after decompressive celiotomy for abdominal compartment syndrome following burn. Burns. 2008;34:493-7 pubmed
    ..Abdominal compartment syndrome is frequently the result of aggressive fluid resuscitation after burn. Management of the open abdomen following decompressive celiotomy is a major problem...
  14. De Waele J, Pletinckx P, Blot S, Hoste E. Saline volume in transvesical intra-abdominal pressure measurement: enough is enough. Intensive Care Med. 2006;32:455-9 pubmed
    ..The objective was to determine the minimum volume of instillation fluid for intra-abdominal pressure (IAP) measurement, and to evaluate the effect of instillation volume on transvesically measured IAP...
  15. Djavani K, Wanhainen A, Bjorck M. Intra-abdominal hypertension and abdominal compartment syndrome following surgery for ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 2006;31:581-4 pubmed
    ..To investigate the importance of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS), based on the December 2004 consensus definition, on outcome after surgery for ruptured abdominal aortic aneurysm (rAAA)...
  16. Miller R, Morris J, Diaz J, Herring M, May A. Complications after 344 damage-control open celiotomies. J Trauma. 2005;59:1365-71; discussion 1371-4 pubmed
    ..We reviewed our experience with the open abdomen and hypothesized that the known high wound complication rates were related to the timing and method of wound closure...
  17. Cheatham M, Safcsak K, Llerena L, Morrow C, Block E. Long-term physical, mental, and functional consequences of abdominal decompression. J Trauma. 2004;56:237-41; discussion 241-2 pubmed
    ..The long-term physical, mental, and functional consequences of abdominal decompression for intra-abdominal hypertension are unknown...
  18. King T, Lerman O, Carter J, Warren S. Exertional compartment syndrome of the thigh: a rare diagnosis and literature review. J Emerg Med. 2010;39:e93-9 pubmed publisher
  19. Malbrain M, Deeren D, De Potter T. Intra-abdominal hypertension in the critically ill: it is time to pay attention. Curr Opin Crit Care. 2005;11:156-71 pubmed
    ..The aim was to find an answer to the question 'Isn't it time to pay attention to intra-abdominal pressure in the critically ill?'..
  20. Dambrauskas Z, Parseliunas A, Gulbinas A, Pundzius J, Barauskas G. Early recognition of abdominal compartment syndrome in patients with acute pancreatitis. World J Gastroenterol. 2009;15:717-21 pubmed
    ..To assess the value of widely used clinical scores in the early identification of acute pancreatitis (AP) patients who are likely to suffer from intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS)...
  21. Malbrain M, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri V, et al. Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med. 2005;33:315-22 pubmed
  22. Oda S, Hirasawa H, Shiga H, Matsuda K, Nakamura M, Watanabe E, et al. Management of intra-abdominal hypertension in patients with severe acute pancreatitis with continuous hemodiafiltration using a polymethyl methacrylate membrane hemofilter. Ther Apher Dial. 2005;9:355-61 pubmed
    ..Continuous hemodiafiltration using a polymethyl methacrylate membrane hemofilter appears to be effective for prevention and treatment of IAH in patients with SAP through the removal of causative cytokines of hyperpermeability...
  23. Hunter J, Damani Z. Intra-abdominal hypertension and the abdominal compartment syndrome. Anaesthesia. 2004;59:899-907 pubmed
    ..Most surgeons prefer to adopt a 'wait and see' policy, only intervening when clinical deterioration is associated with a significant increase in intra-abdominal pressure...
  24. Sun Z, Huang H, Zhou H. Indwelling catheter and conservative measures in the treatment of abdominal compartment syndrome in fulminant acute pancreatitis. World J Gastroenterol. 2006;12:5068-70 pubmed
    ..To study the effect of combined indwelling catheter, hemofiltration, respiration support and traditional Chinese medicine (e.g. Dahuang) in treating abdominal compartment syndrome of fulminant acute pancreatitis...
  25. Ivatury R. Abdominal compartment syndrome: a century later, isn't it time to accept and promulgate?. Crit Care Med. 2006;34:2494-5 pubmed
  26. Montalvo J, Acosta J, Rodriguez P, Alejandro K, Sárraga A. Surgical complications and causes of death in trauma patients that require temporary abdominal closure. Am Surg. 2005;71:219-24 pubmed
    ..After multiple logistic regression analysis, increasing age and a numerically greater initial base deficit were found to be independent predictors of mortality in trauma patients that require TAC...
  27. Oetting P, Rau B, Schlag P. [Abdominal vacuum device with open abdomen]. Chirurg. 2006;77:586, 588-93 pubmed
    ..Abdominal vacuum-assisted closure is increasingly favoured. We analyse our experience with this device in a distinct group of patients from gastrointestinal cancer surgery...
  28. Tiwari A, Myint F, Hamilton G. Recognition and management of abdominal compartment syndrome in the United Kingdom. Intensive Care Med. 2006;32:906-9 pubmed
    ..ACS is seen in patients managed in intensive care units. Very little is known on the causes, diagnosis and treatment of this condition in the United Kingdom...
  29. Mithoefer K, Lhowe D, Vrahas M, Altman D, Erens V, Altman G. Functional outcome after acute compartment syndrome of the thigh. J Bone Joint Surg Am. 2006;88:729-37 pubmed
    ..Because of its rarity, limited information is available on the long-term functional outcome for patients with this condition and the factors that affect the clinical result...
  30. Miller P, Meredith J, Johnson J, Chang M. Prospective evaluation of vacuum-assisted fascial closure after open abdomen: planned ventral hernia rate is substantially reduced. Ann Surg. 2004;239:608-14; discussion 614-6 pubmed
    ..The goal of this report is to examine the success of vacuum-assisted fascial closure (VAFC) under a carefully applied protocol in abdominal closure after open abdomen...
  31. Stagnitti F, Calderale S, Priore F, Ribaldi S, Tiberi R, De Pascalis M, et al. [Abdominal compartment syndrome: patophysiologic and clinic remarks]. G Chir. 2004;25:335-42 pubmed
    ..As mortality is still very high (29-62%), especially when multiorgan failure is already set; bladder pressure of all critical patients should be monitorized to treat immediately any potential abdominal hypertension...
  32. Schachtrupp A, Graf J, Tons C, Hoer J, Fackeldey V, Schumpelick V. Intravascular volume depletion in a 24-hour porcine model of intra-abdominal hypertension. J Trauma. 2003;55:734-40 pubmed
    ..The purpose of the study was to examine hemodynamic parameters and intravascular volume in a porcine model in the presence of intra-abdominal hypertension (IAH) lasting for 24 hours...
  33. Dalfino L, Tullo L, Donadio I, Malcangi V, Brienza N. Intra-abdominal hypertension and acute renal failure in critically ill patients. Intensive Care Med. 2008;34:707-13 pubmed
    ..To investigate the relationship between intra-abdominal hypertension (IAH) and acute renal failure (ARF) in critically ill patients...
  34. Cothren C, Moore E, Johnson J, Moore J, Burch J. One hundred percent fascial approximation with sequential abdominal closure of the open abdomen. Am J Surg. 2006;192:238-42 pubmed
    ..We performed a modification of the vacuum-assisted closure (VAC) technique that provided constant fascial tension, hypothesizing this would result in a higher rate of primary fascial closure...
  35. Pracca F, Biestro A, Moraes L, Puppo C, Calvo S, Gorrasi J, et al. Direct measurement of intra-abdominal pressure with a solid microtranducer. J Clin Monit Comput. 2007;21:167-70 pubmed
    ..Comparative study between two different methods to measure intra-abdominal pressure in a multidisciplinary intensive care unit of a university hospital...
  36. de Laet I, Malbrain M. Current insights in intra-abdominal hypertension and abdominal compartment syndrome. Med Intensiva. 2007;31:88-99 pubmed
    ..This article reflects the current state of knowledge on intra-abdominal pressure regarding etiology, epidemiology, diagnosis, IAP measurement, organ dysfunction, prevention and treatment...
  37. Brooks A, Simpson A, Delbridge M, Beckingham I, Girling K. Validation of direct intraabdominal pressure measurement using a continuous indwelling compartment pressure monitor. J Trauma. 2005;58:830-2 pubmed
    ..According to recommendations, intraabdominal pressure should be monitored every 8 hours for patients at high risk of abdominal compartment syndrome. Continuous intraabdominal pressure monitoring may be valuable for these patients...
  38. Cheatham M, Malbrain M, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations. Intensive Care Med. 2007;33:951-62 pubmed
    ..In the absence of consensus definitions and treatment guidelines the diagnosis and management of IAH and ACS remains variable from institution to institution...
  39. Sugrue M. Abdominal compartment syndrome. Curr Opin Crit Care. 2005;11:333-8 pubmed
    ..The review will explore the challenges in diagnosis, pathophysiology, and recent concepts in the treatment of abdominal compartment syndrome...
  40. Wong K, Summerhays C. Abdominal compartment syndrome: a new indication for operative intervention in severe acute pancreatitis. Int J Clin Pract. 2005;59:1479-81 pubmed
  41. Larson R, Sierra R, Sundaram M, Inwards C, Scully S. Calcific myonecrosis: a unique presentation in the upper extremity. Skeletal Radiol. 2004;33:306-9 pubmed
    ..Awareness of this lesion arising outside of the lower extremity is important to avoid unnecessary surgical intervention and patient reassurance...
  42. Kushimoto S, Yamamoto Y, Aiboshi J, Ogawa F, Koido Y, Yoshida R, et al. Usefulness of the bilateral anterior rectus abdominis sheath turnover flap method for early fascial closure in patients requiring open abdominal management. World J Surg. 2007;31:2-8; discussion 9-10 pubmed
    ..In this study we used bilateral anterior rectus abdominis sheath turnover flaps for early fascial closure which, to date, has not been evaluated as a technique for early fascial closure...
  43. Xu Y, Bai Y, Li Q, Yu H, Cao M. Chronic lumbar paraspinal compartment syndrome: a case report and review of the literature. J Bone Joint Surg Br. 2009;91:1628-30 pubmed publisher
    ..The pressures in the lumbar paraspinal compartment were abnormally high and he was treated by surgical decompression. This gave rapid relief, he returned to training, and one year later the pain had not recurred...
  44. Malbrain M, De laet I, De Waele J. IAH/ACS: the rationale for surveillance. World J Surg. 2009;33:1110-5 pubmed publisher
    ..Treatment for IAH/ACS should be selected on the basis of the severity of symptoms and the cause of IAH. IAP monitoring should also be incorporated in the daily ICU management of the patient...
  45. Reed S, Britt R, Collins J, Weireter L, Cole F, Britt L. Aggressive surveillance and early catheter-directed therapy in the management of intra-abdominal hypertension. J Trauma. 2006;61:1359-63; discussion 1363-5 pubmed
    ..Our study aims at identifying these individuals early in their course and placing an intra-abdominal catheter to reduce intra-abdominal pressure before the serious hemodynamic consequences of ACS occur...
  46. Bee T, Croce M, Magnotti L, Zarzaur B, Maish G, Minard G, et al. Temporary abdominal closure techniques: a prospective randomized trial comparing polyglactin 910 mesh and vacuum-assisted closure. J Trauma. 2008;65:337-42; discussion 342-4 pubmed publisher
    ..Some advocate polyglactin mesh (MESH), while others favor vacuum-assisted closure (VAC). We performed a single institution prospective randomized trial comparing morbidity and mortality differences between MESH and VAC...
  47. Konstantakos E, Dalstrom D, Nelles M, Laughlin R, Prayson M. Diagnosis and management of extremity compartment syndromes: an orthopaedic perspective. Am Surg. 2007;73:1199-209 pubmed
    ..Surgical release of the enveloping fascia remains the acceptable standard treatment for compartment syndrome. This article reviews the evaluation and treatment of compartment syndrome...
  48. Balogh Z, van Wessem K, Yoshino O, Moore F. Postinjury abdominal compartment syndrome: are we winning the battle?. World J Surg. 2009;33:1134-41 pubmed publisher
    ..This review was designed to summarize the recent advances in the management of ACS, to classify the currently available evidence, and to identify future directions of research and clinical care...
  49. Malbrain M, De laet I. Intra-abdominal hypertension: evolving concepts. Clin Chest Med. 2009;30:45-70, viii pubmed publisher
    ..This article intends to provide critical care physicians with a clear insight into the current state of knowledge regarding IAH and ACS...
  50. Perez D, Wildi S, Demartines N, Bramkamp M, Koehler C, Clavien P. Prospective evaluation of vacuum-assisted closure in abdominal compartment syndrome and severe abdominal sepsis. J Am Coll Surg. 2007;205:586-92 pubmed
    ..Recently, the abdominal vacuum-assisted closure (VAC) system has been introduced, providing a new possibility to treat an open abdomen. In this study, we evaluate the role of this treatment option...
  51. Mubarak S, Frick S, Sink E, Rathjen K, Noonan K. Volkmann contracture and compartment syndromes after femur fractures in children treated with 90/90 spica casts. J Pediatr Orthop. 2006;26:567-72 pubmed
    ..5 yrs) with low energy femur fractures were treated with 90/90 spica casts and developed leg compartment syndromes, Volkmann contracture, and ankle skin loss...
  52. Malbrain M, Vidts W, Ravyts M, de Laet I, De Waele J. Acute intestinal distress syndrome: the importance of intra-abdominal pressure. Minerva Anestesiol. 2008;74:657-73 pubmed
    ..Finally, noninvasive medical management options for IAH, surgical treatment for ACS and management of the open abdomen will be briefly discussed...
  53. de Laet I, Hoste E, De Waele J. Transvesical intra-abdominal pressure measurement using minimal instillation volumes: how low can we go?. Intensive Care Med. 2008;34:746-50 pubmed publisher
    ..To determine the minimal instillation volume at which an intra-abdominal pressure (IAP) curve can be obtained and to compare this with the IAP measured at 20 ml instilled volume...