Related Experiment Video

Updated: May 12, 2026

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats
06:50

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

Published on: August 15, 2025

Intra-abdominal hypertension in the current era of modern trauma resuscitation

Ismail Mahmood1, Saeed Mahmood, Ashok Parchani

  • 1Trauma Intensive Care Unit, Section of Trauma Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar.

ANZ Journal of Surgery
|April 12, 2013
PubMed

Insights

Post-traumatic intra-abdominal hypertension is common after trauma resuscitation, but abdominal compartment syndrome is rare. Advances in haemostatic resuscitation have improved outcomes for trauma patients.

Area of Science:

  • Trauma surgery
  • Critical care medicine
  • Surgical outcomes

Background:

  • Assessing the incidence and outcomes of post-traumatic intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS).
  • Evaluating these conditions following advancements in haemostatic resuscitation strategies.

Purpose of the Study:

  • To determine the incidence and outcomes of post-traumatic IAH and ACS.
  • To analyze the impact of current resuscitation techniques on these conditions.

Main Methods:

  • Prospective cohort study (2009-2011) of patients with post-traumatic hemorrhagic shock.
  • Assessment of demographics, fluid resuscitation, damage control laparotomy (DCL), morbidity, and mortality.
  • Patients categorized into groups based on DCL need and intra-abdominal pressure (IAP) levels.

Main Results:

  • 117 patients enrolled; 15 required DCL, showing higher mortality (20% vs 6%).
  • IAH was common (IAP 12-20 mmHg in 57.8%), but ACS incidence was low (0.9%).
  • Patients with IAP > 20 mmHg exhibited worse metabolic acidosis and required more blood transfusions.

Conclusions:

  • IAH is a frequent, transient issue in trauma patients with current resuscitation practices.
  • The incidence of ACS is notably low, suggesting effective management strategies.
  • Minimal fluid resuscitation and damage control approaches contribute to favorable outcomes.
Abstract

Keywords:
abdominal compartment syndromeintra-abdominal hypertension

More Related Videos

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Related Concept Videos

Increased Intracranial Pressure l: Introduction01:14

Increased Intracranial Pressure l: Introduction

Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Increased Intracranial Pressure ll: Pathophysiology01:29

Increased Intracranial Pressure ll: Pathophysiology

Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Portal Hypertension01:22

Portal Hypertension

Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...