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Intensive Care Med. 2003 Jul;29(7):1177-81. Epub 2003 May 22.

Abdominal compartment syndrome related to noninvasive ventilation.

Author information

1
Makrylos CCT, 0810, Brinkin, Northern Territory, Australia. bdekeul@hotmail.com

Abstract

OBJECTIVE:

To study the effects of noninvasive positive pressure ventilation (NIPPV) on intra-abdominal pressure.

DESIGN AND SETTING:

Single case report from a tertiary teaching hospital.

PATIENTS AND METHODS:

A 65-year-old man who experienced a sudden respiratory and cardiovascular collapse during NIPPV. This was caused by gastric overdistension due to aerophagia followed by raised intra-abdominal pressure leading to intra-abdominal hypertension and abdominal compartment syndrome.

RESULTS:

The respiratory and cardiovascular problems resolved immediately after the introduction of a nasogastric tube. This resulted in normalization of IAP.

CONCLUSIONS:

This is the first case reported of an abdominal compartment syndrome related to NIPPV. Clinicians should be aware of this possible complication while using NIPPV.

PMID:
12761616
DOI:
10.1007/s00134-003-1806-z
[Indexed for MEDLINE]

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