Anesthetic Management of a Patient with Abdominal Compartment Syndrome : A case report.

Koo,  Bon Wook; Kim,  Sang Tae

doi:2007.52.1.111

Case Report

Korean Journal of Anesthesiology 2007;52(1):111-114.
DOI: https://doi.org/10.4097/kjae.2007.52.1.111

Anesthetic Management of a Patient with Abdominal Compartment Syndrome : A case report.

Department of Anesthesiology and Pain Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea. kimst@chungbuk.ac.kr

Abstract

Abdominal compartment syndrome (ACS) is a life-threatening emergency requiring prompt treatment. In these cases, a patient cannot ventilate effectively and oliguria can occur because of the high intra-abdominal pressure (IAP). The mortality rate is very high. Treatment is abdominal decompression and secondary closure. There are very few reports of the anesthetic management of a patient with ACS. We report a 38-year-old male patient who was diagnosed with ACS at the operating room. The IAP was measured and emergency abdominal decompression and "Bogota bag" apply were performed. The respiratory and hemodynamic parameters improved after this treatment.

Key Words: abdominal compartment syndrome; abdominal decompression; intra-abdominal pressure