Format

Send to

Choose Destination
Pediatr Crit Care Med. 2007 Mar;8(2):177-9.

Management of abdominal compartment syndrome during extracorporeal life support.

Author information

1
University of Arkansas for Medical Sciences College of Medicine, Department of Pediatrics, Little Rock, Arkansas, USA.

Abstract

OBJECTIVE:

To describe the successful use of a peritoneal dialysis catheter for emergent decompression of abdominal compartment syndrome during extracorporeal life support for septic shock.

DESIGN:

Case report.

SETTING:

Pediatric intensive care unit at a freestanding tertiary children's hospital.

PATIENT:

Two-year-old toddler with influenza A complicated by methicillin-resistant Staphylococcus aureus pneumonia and septic shock.

INTERVENTIONS:

Placement of peritoneal dialysis catheter.

MEASUREMENTS AND MAIN RESULTS:

Changes in hemodynamic and respiratory parameters. Improvement in extracorporeal membrane oxygenation venous drainage with subsequent survival.

CONCLUSIONS:

Although the standard therapy for abdominal compartment syndrome is decompressive laparotomy, a minimally invasive percutaneous approach may be effective and should be considered in selected patients.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center