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Intra-abdominal hypertension and abdominal compartment syndrome in the surgical intensive care unit of Imam Khomeini Hospital: a 12 months study

Author(s): Shamimi K | Aminian A | Moazami F | Jalali M

Journal: Tehran University Medical Journal
ISSN 1683-1764

Volume: 64;
Issue: 12;
Start page: 76;
Date: 2007;
Original page

Keywords: Intra-abdominal pressure | Intra-abdominal hypertension | abdominal compartment syndrome | urinary bladder pressure | decompressive laparotomy

Background: Abdominal compartment syndrome (ACS) is a clinical entity that develops from progressive, acute increases in intra-abdominal pressure (IAP) and adversely affects all vital organ systems In this study, the development of intra-abdominal hypertension (IAH) and ACS in a surgical ICU population is described and examined. Methods: Over a one-year period (2004), urinary bladder pressure (UBP) was measured prospectively in all surgical patients with abdominal problems admitted to the ICU of the Imam Hospital complex. UBP of >20 cm H2O indicated IAH. ACS was defined as the development of multiple organ dysfunction including peak airway pressure (PAP) >50 cm H2O, Horowitz quotient
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