Early Decompressive Laparotomy for Intra-Abdominal Hypertension Following Initiation of Venovenous Extracorporeal Membrane Oxygenation

Patients supported with venovenous extracorporeal membrane oxygenation are at risk for intra-abdominal hypertension and abdominal compartment syndrome. Flow through the return cannula may be compromised in these patients, resulting in inadequate support and end-organ malperfusion. Early decompressiv...

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Veröffentlicht in:ASAIO journal (1992) 2020-05, Vol.66 (5), p.520-523
Hauptverfasser: Boulos, Francesca M., Pasrija, Chetan, DiChiacchio, Laura, Rouse, Michael, Raithel, Maxwell, Mackowick, Kristen, Rector, Raymond, Mazzeffi, Michael A., Griffith, Bartley P., Diaz, Jose J., Kon, Zachary N., Deatrick, Kristopher B.
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Sprache:eng
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Zusammenfassung:Patients supported with venovenous extracorporeal membrane oxygenation are at risk for intra-abdominal hypertension and abdominal compartment syndrome. Flow through the return cannula may be compromised in these patients, resulting in inadequate support and end-organ malperfusion. Early decompressive laparotomy can mitigate these complications and potentially improve outcomes. Here we review a series of nine patients undergoing early decompressive laparotomy for abdominal compartment syndrome at a single institution and propose an algorithmic approach to the management of these patients.
ISSN:1058-2916
1538-943X
DOI:10.1097/MAT.0000000000001045