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- Title
Abdominal compartment syndrome related to noninvasive ventilation.
- Authors
de Keulenaer, Bart L.; de Backer, Adelard; Schepens, Dirk R; Daelemans, Ronny; Wilmer, Alexander; Malbrain, Manu L. N. G.
- Abstract
<bold>Objective: </bold>To study the effects of noninvasive positive pressure ventilation (NIPPV) on intra-abdominal pressure.<bold>Design and Setting: </bold>Single case report from a tertiary teaching hospital.<bold>Patients and Methods: </bold>A 65-year-old man who experienced a sudden respiratory and cardiovascular collapse during NIPPV. This was caused by gastric overdistension due to aerophagia followed by raised intra-abdominal pressure leading to intra-abdominal hypertension and abdominal compartment syndrome.<bold>Results: </bold>The respiratory and cardiovascular problems resolved immediately after the introduction of a nasogastric tube. This resulted in normalization of IAP.<bold>Conclusions: </bold>This is the first case reported of an abdominal compartment syndrome related to NIPPV. Clinicians should be aware of this possible complication while using NIPPV.
- Subjects
BELGIUM; ARTIFICIAL respiration; ISCHEMIA; SYNDROMES; MUSCLE diseases; OLDER men; MEDICAL personnel; ABDOMEN; AEROPHAGY; COMPARTMENT syndrome; RADIOGRAPHY; POSITIVE end-expiratory pressure; DISEASE complications
- Publication
Intensive Care Medicine, 2003, Vol 29, Issue 7, p1177
- ISSN
0342-4642
- Publication type
journal article
- DOI
10.1007/s00134-003-1806-z