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Basic Sciences

Tutorial 120

Abdominal Compartment Syndrome

William English, North Bristol NHS Trust, Bristol, UK

Bruce McCormick, Royal Devon & Exeter Hospital, UK

englishwilliam@hotmail.com

1 ST DECEMBER 2008

Abstract

ACS is a syndrome associated with high morbidity and mortality. IAP monitoring should be used in at risk patients. This can be simply and reliably estimated by use of saline instilled in a bladder catheter. As there are no current guidelines regarding the role for and timing of decompressive laparotomy, each case will require individual assessment and discussion between the intensive care and surgical teams.