Management of abdominal compartment syndrome during extracorporeal life support
Regina Okhuysen-Cawley1, Parthak Prodhan, Michiaki Imamura
1University of Arkansas for Medical Sciences College of Medicine, Department of Pediatrics, Little Rock, Arkansas, USA.
Objective:
To describe the successful use of a peritoneal dialysis catheter for emergent decompression of abdominal compartment syndrome during extracorporeal life support for septic shock.
Design:
Case report.
Setting:
Pediatric intensive care unit at a freestanding tertiary children's hospital.
Patient:
Two-year-old toddler with influenza A complicated by methicillin-resistant Staphylococcus aureus pneumonia and septic shock.
Interventions:
Placement of peritoneal dialysis catheter.
Measurements And Main Results:
Changes in hemodynamic and respiratory parameters. Improvement in extracorporeal membrane oxygenation venous drainage with subsequent survival.
Conclusions:
Although the standard therapy for abdominal compartment syndrome is decompressive laparotomy, a minimally invasive percutaneous approach may be effective and should be considered in selected patients.
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