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Cardiac ultrasound and abdominal compartment syndrome

Y Mahjoub, G Plantefeve

    Acta Clinica Belgica
    |June 3, 2014
    PubMed

    Insights

    Abdominal compartment syndrome (ACS) significantly impacts hemodynamics, causing decreased venous return and cardiac dysfunction. Echocardiography offers a bedside solution for evaluating ACS patients, though its use in critical care settings is limited.

    Area of Science:

    • Critical Care Medicine
    • Cardiovascular Physiology
    • Surgical Complications

    Background:

    • Abdominal compartment syndrome (ACS) presents significant hemodynamic challenges.
    • Existing literature details the adverse cardiovascular effects of ACS.

    Purpose of the Study:

    • To review the literature on the hemodynamic consequences of abdominal compartment syndrome (ACS).
    • To highlight the utility of Doppler echocardiography in assessing ACS-related hemodynamic changes.

    Main Methods:

    • Literature review of animal and clinical studies.
    • Analysis of reported hemodynamic alterations in ACS.
    • Evaluation of Doppler echocardiography as a diagnostic tool.

    Main Results:

    • Studies indicate decreased venous return, systemic vasoconstriction, and biventricular dysfunction in ACS.
    • Doppler echocardiography is identified as a non-invasive bedside method for comprehensive hemodynamic assessment.
    • Limited application of echocardiography in critically ill ACS patients is noted.

    Conclusions:

    • ACS profoundly affects cardiovascular function.
    • Echocardiography is a valuable tool for managing ACS hemodynamics.
    • Increased utilization of echocardiography in critically ill ACS patients is warranted.

    Keywords:
    Abdominal compartment syndrome,Doppler EchocardiographyHemodynamic,

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