Abdominal Compartment Syndrome: An Underrated Complication in Pediatric Kidney Transplantation

Abdominal Compartment Syndrome: An Underrated Complication in Pediatric Kidney Transplantation

Abstract The transplantation of a large kidney in small children can lead to many complications, including an underrated complication known as abdominal compartment syndrome (ACS), which is defined as intra-abdominal pressure (IAP) ≥20 mm Hg with dysfunction of at least one thoracoabdominal organ. P...

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Veröffentlicht in:Transplantation proceedings 2014-09, Vol.46 (7), p.2251-2253
Hauptverfasser: Fontana, I, Bertocchi, M, Centanaro, M, Varotti, G, Santori, G, Mondello, R, Tagliamacco, A, Cupo, P, Barabani, C, Palombo, D
Format: Artikel
Sprache:eng
Schlagworte:
Child
Child, Preschool
Compartment Syndromes - diagnosis
Compartment Syndromes - epidemiology
Compartment Syndromes - surgery
Decompression, Surgical
Female
Humans
Infant
Italy - epidemiology
Kidney Transplantation - adverse effects
Male
Monitoring, Intraoperative
Pressure
Surgery
Urinary Bladder
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Zusammenfassung:Abstract The transplantation of a large kidney in small children can lead to many complications, including an underrated complication known as abdominal compartment syndrome (ACS), which is defined as intra-abdominal pressure (IAP) ≥20 mm Hg with dysfunction of at least one thoracoabdominal organ. Presenting signs of ACS include firm tense abdomen, increased peak inspiratory pressures, oliguria, and hypotension. Between June 1, 1985, and September 30, 2013, our center performed 420 kidney transplants (deceased/living related donors: 381/39) in 314 pediatric recipients (female/male: 147/167). ACS occurred in 9 pediatric patients (weight 
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2014.07.045