File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Abdominal compartment syndrome after ruptured abdominal aortic aneurysm

TitleAbdominal compartment syndrome after ruptured abdominal aortic aneurysm
Authors
Issue Date2008
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
Anz Journal Of Surgery, 2008, v. 78 n. 8, p. 648-653 How to Cite?
AbstractAbdominal Compartment Syndrome (ACS) is an increasingly recognized syndrome of intra-abdominal hypertension and generalized physiological dysfunction in critically ill patients. Patients suffering a ruptured abdominal aortic aneurysm (rAAA) are at risk of developing ACS. The objective of the study was to compare the current views on the importance, prevalence and management of ACS after rAAA among Australian vascular surgeons and intensivists. A questionnaire was mailed to 116 registered vascular fellows from the Royal Australasian College of Surgeons and 314 registered fellows of the Joint Faculty of Intensive Care Medicine. Data were collected on the prevalence and importance of ACS after rAAA and whether prophylactic measures were or should be taken to prevent ACS. Hypothetical clinical scenarios representing a range of ACS after rAAA were also presented. The responses were compared using χ 2-test and t-test. Sixty-seven per cent (78 of 116) of surgeons and 39% (122 of 314) of intensivists responded. Both groups estimated the prevalence of ACS after rAAA as between 10 and 30% and considered it an important entity. Only 30% of surgeons and 50% of intensivists suggested routine intra-abdominal pressure (IAP) monitoring. In patients with borderline IAP (18 mmHg), both groups believed that surgical intervention was unnecessary. Intensivists were more inclined to suggest surgical intervention for clinically deteriorating patients with an increased IAP (30 mmHg) compared with surgeons. Forty-three per cent of intensivists and 17% of surgeons suggested prophylactic (leaving the abdomen open) measures to prevent ACS in high-risk patients. Surgeons and intensivists have similar views on the prevalence and clinical importance of ACS after rAAA. Intensivists more frequently monitored IAP and suggested both early prophylactic and therapeutic intervention for ACS based on physiological and IAP findings. © 2008 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/185470
ISSN
2015 Impact Factor: 1.158
2015 SCImago Journal Rankings: 0.432
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChoi, JYSen_US
dc.contributor.authorBurton, Pen_US
dc.contributor.authorWalker, Sen_US
dc.contributor.authorGhaneAsle, Sen_US
dc.date.accessioned2013-07-30T07:35:28Z-
dc.date.available2013-07-30T07:35:28Z-
dc.date.issued2008en_US
dc.identifier.citationAnz Journal Of Surgery, 2008, v. 78 n. 8, p. 648-653en_US
dc.identifier.issn1445-1433en_US
dc.identifier.urihttp://hdl.handle.net/10722/185470-
dc.description.abstractAbdominal Compartment Syndrome (ACS) is an increasingly recognized syndrome of intra-abdominal hypertension and generalized physiological dysfunction in critically ill patients. Patients suffering a ruptured abdominal aortic aneurysm (rAAA) are at risk of developing ACS. The objective of the study was to compare the current views on the importance, prevalence and management of ACS after rAAA among Australian vascular surgeons and intensivists. A questionnaire was mailed to 116 registered vascular fellows from the Royal Australasian College of Surgeons and 314 registered fellows of the Joint Faculty of Intensive Care Medicine. Data were collected on the prevalence and importance of ACS after rAAA and whether prophylactic measures were or should be taken to prevent ACS. Hypothetical clinical scenarios representing a range of ACS after rAAA were also presented. The responses were compared using χ 2-test and t-test. Sixty-seven per cent (78 of 116) of surgeons and 39% (122 of 314) of intensivists responded. Both groups estimated the prevalence of ACS after rAAA as between 10 and 30% and considered it an important entity. Only 30% of surgeons and 50% of intensivists suggested routine intra-abdominal pressure (IAP) monitoring. In patients with borderline IAP (18 mmHg), both groups believed that surgical intervention was unnecessary. Intensivists were more inclined to suggest surgical intervention for clinically deteriorating patients with an increased IAP (30 mmHg) compared with surgeons. Forty-three per cent of intensivists and 17% of surgeons suggested prophylactic (leaving the abdomen open) measures to prevent ACS in high-risk patients. Surgeons and intensivists have similar views on the prevalence and clinical importance of ACS after rAAA. Intensivists more frequently monitored IAP and suggested both early prophylactic and therapeutic intervention for ACS based on physiological and IAP findings. © 2008 The Authors.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANSen_US
dc.relation.ispartofANZ Journal of Surgeryen_US
dc.subject.meshAbdominal Cavityen_US
dc.subject.meshAortic Aneurysm, Abdominal - Complications - Surgeryen_US
dc.subject.meshAortic Rupture - Complications - Surgeryen_US
dc.subject.meshAustraliaen_US
dc.subject.meshCompartment Syndromes - Diagnosis - Etiology - Prevention & Control - Therapyen_US
dc.subject.meshDecompression, Surgicalen_US
dc.subject.meshHumansen_US
dc.subject.meshQuestionnairesen_US
dc.titleAbdominal compartment syndrome after ruptured abdominal aortic aneurysmen_US
dc.typeArticleen_US
dc.identifier.emailChoi, JYS: choyu977@hku.hken_US
dc.identifier.authorityChoi, JYS=rp01766en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1445-2197.2008.04466.xen_US
dc.identifier.pmid18796020-
dc.identifier.scopuseid_2-s2.0-49549114059en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-49549114059&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume78en_US
dc.identifier.issue8en_US
dc.identifier.spage648en_US
dc.identifier.epage653en_US
dc.identifier.isiWOS:000258353600011-
dc.publisher.placeAustraliaen_US
dc.identifier.scopusauthoridChoi, JYS=7501395249en_US
dc.identifier.scopusauthoridBurton, P=26532264000en_US
dc.identifier.scopusauthoridWalker, S=8514703200en_US
dc.identifier.scopusauthoridGhaneAsle, S=24558958100en_US

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats