Journal article
Secondary abdominal compartment syndrome in children with burns and trauma: a potentially lethal complication
Journal of burn care & research, v 27(2), pp 242-246
01 Mar 2006
PMID: 16566576
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Acute, rapid, and unimpeded increases in intra-abdominal pressure can lead to multiple organ dysfunction defined as the abdominal compartment syndrome (ACS). If this develops in the absence of obvious intra-abdominal injury, it has been termed secondary ACS (2 degrees ACS). Massive fluid resuscitation in the presence of large burns or shock can lead to 2 degrees ACS. The importance of early recognition and the need for urgent abdominal decompression have been recognized in adults; however, this has not been appreciated in the pediatric population. Medical records of four children diagnosed with 2 degrees ACS were reviewed. Secondary ACS occurred in three children with burns and in one child with a traumatic brain injury. Three children underwent decompressive laparotomy, and one underwent successful percutaneous drainage. There were two survivors. Secondary ACS may be observed in burnt or traumatized children needing large volume resuscitation. Early recognition of 2 degrees ACS by routine bladder pressure monitoring in this high-risk group of children may result in earlier decompression and a possible decrease in morbidity and mortality.
Metrics
Details
- Title
- Secondary abdominal compartment syndrome in children with burns and trauma: a potentially lethal complication
- Creators
- Aaron R Jensen - Temple UniversityWilliam B Hughes - Temple UniversityHarsh Grewal - Temple University
- Publication Details
- Journal of burn care & research, v 27(2), pp 242-246
- Publisher
- Lippincott
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Surgery
- Web of Science ID
- WOS:000237697800023
- Scopus ID
- 2-s2.0-33745372784
- Other Identifier
- 991021930837904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Critical Care Medicine
- Dermatology
- Surgery