Abdominal compartment syndrome related to noninvasive ventilation

被引：36

作者：

De Keulenaer, BL ^{[1
]}

De Backer, A

Schepens, DR

Daelemans, R

Wilmer, A

Malbrain, MLNG

机构：

[1] Makrylos CCT, Brinkin, NT 0810, Australia

[2] Gen Hosp Stuivenberg, Med Intens Therapy Unit, B-2060 Antwerp, Belgium

[3] Gen Hosp Stuivenberg, Dept Radiol, B-2060 Antwerp, Belgium

[4] Univ Hosp Gasthuisberg, Med Intens Care Unit, B-3000 Louvain, Belgium

来源：

INTENSIVE CARE MEDICINE | 2003年 / 29卷 / 07期

关键词：

cardiovascular collapse; noninvasive ventilation; intra-abdominal pressure; intra-abdominal compartment syndrome; gastric distention;

D O I：

10.1007/s00134-003-1806-z

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：1177 / 1181

页数：5

共 18 条

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