Journal article
Abdominal Compartment Syndrome and Acute Kidney Injury Due to Excessive Auto-Positive End-Expiratory Pressure
American journal of kidney diseases, v 61(2), pp 285-288
01 Feb 2013
PMID: 23157939
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Abdominal compartment syndrome is an under-recognized cause of acute kidney injury in critically ill patients. We report a case of a patient with severe obstructive lung disease who, while intubated for respiratory failure, developed abdominal compartment syndrome and oliguric acute kidney injury due to air-trapping and excessive auto-positive end-expiratory pressure (auto-PEEP; also known as intrinsic PEEP). When chemical paralysis was initiated and the auto-PEEP resolved, the patient's intra-abdominal hypertension rapidly improved and kidney function recovered immediately. Abdominal compartment syndrome secondary to excessive auto-PEEP appears to be unreported in the literature; however, any process that significantly increases intrathoracic pressure conceivably could cause increased pressure to be transmitted to the abdominal compartment, resulting in organ failure. Patients undergoing mechanical ventilation, which puts them at risk of airflow obstruction and the development of intra-abdominal hypertension, should be evaluated for air-trapping and excessive auto-PEEP. Am J Kidney Dis. 61(2):285-288. (c) 2013 by the National Kidney Foundation, Inc.
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Details
- Title
- Abdominal Compartment Syndrome and Acute Kidney Injury Due to Excessive Auto-Positive End-Expiratory Pressure
- Creators
- Dwight Matthew - Drexel UniversityDavid Oxman - Drexel UniversityKarim Djekidel - Drexel UniversityZiauddin Ahmed - Drexel UniversityMichael Sherman - Drexel University
- Publication Details
- American journal of kidney diseases, v 61(2), pp 285-288
- Publisher
- Elsevier
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Nephrology (and Hypertension); Physician Assistant
- Web of Science ID
- WOS:000313591800016
- Scopus ID
- 2-s2.0-84872285459
- Other Identifier
- 991019167413704721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Urology & Nephrology