Management of Abdominal Compartment Syndrome

  1. Colonoscopic decompression
  2. Initiating neuromuscular blockade
  3. Percutaneous abdominal catheter drainage
  4. Surgical abdominal decompression

The recommendation for the management of a patient with ACS unresponsive to medical treatment is surgical decompression.

Indications for surgical decompression: ACS with new-onset organ failure, an intra-abdominal pressure greater than or equal to 25 mm Hg, and an abdominal perfusion pressure less than 60 mm Hg.

References

Balogh Z, Moore FA. Chapter 201: Abdominal compartment syndrome. In: Vincent J-L, Abraham, E, Kochanek P, et al, eds. Textbook of Critical Care. Sixth edition. Philadelphia: Elsevier-Saunders; 2011.

Braslow B, Stawicki SP. Chapter 81: What is abdominal compartment syndrome and how should it be managed? In: Deutschman CS,Nelligan PJ, eds. Evidence-Based Practice of Critical Care. Philadelphia: Elsevier-Saunders; 2010.

Cheatham ML. Nonoperative management of intraabdominal hypertension and abdominal compartment syndrome(opens in a new tab). World J Surg.2009;33:1116-1122. doi: 10.1007/s00268-009-0003-9.

WSACS - The Abdominal Compartment Society. WSACS Algorithms. https://www.wsacs.org/education/algorithms.html(opens in a new tab). Lastaccessed July 13, 2016.