open access

Vol 48, No 1 (2016)
Original and clinical articles
Published online: 2015-11-16
Submitted: 2015-08-31
Accepted: 2015-11-02
Get Citation

Intra-abdominal hypertension complicating pancreatitis-induced acute respiratory distress syndrome in three patients on extracorporeal membrane oxygenation

Lee Feddy, Julian Barker, Pete Fawcett, Ignacio Malagon
DOI: 10.5603/AIT.a2015.0071
·
Anaesthesiol Intensive Ther 2016;48(1):29-33.

open access

Vol 48, No 1 (2016)
Original and clinical articles
Published online: 2015-11-16
Submitted: 2015-08-31
Accepted: 2015-11-02

Abstract

Background: Severe acute pancreatitis is associated with sever multiorgan failure from 15 to 50%, depending on the
series. In some of these patients, conventional methods of ventilation and respiratory support will fail, demanding
the use of extracorporeal membrane oxygenation (ECMO). Abdominal compartment syndrome is potentially harmful
in this cohort of patients. We describe the successful treatment of three patients with severe acute pancreatitis who
underwent respiratory ECMO and where intra abdominal pressure was monitored regularly.

Methods: Retrospective review of case notes.

Results: Three patients with severe acute pancreatitis requiring ECMO suffered from increased intra abdominal
pressure during their ICU stay. No surgical interventions were taken to relieve abdominal compartment syndrome.
Survival to hospital discharge was 100%.

Conclusions: Monitoring intraabdominal pressure is a valuable adjunct to decision making while caring for these
high-risk critically ill patients.

Abstract

Background: Severe acute pancreatitis is associated with sever multiorgan failure from 15 to 50%, depending on the
series. In some of these patients, conventional methods of ventilation and respiratory support will fail, demanding
the use of extracorporeal membrane oxygenation (ECMO). Abdominal compartment syndrome is potentially harmful
in this cohort of patients. We describe the successful treatment of three patients with severe acute pancreatitis who
underwent respiratory ECMO and where intra abdominal pressure was monitored regularly.

Methods: Retrospective review of case notes.

Results: Three patients with severe acute pancreatitis requiring ECMO suffered from increased intra abdominal
pressure during their ICU stay. No surgical interventions were taken to relieve abdominal compartment syndrome.
Survival to hospital discharge was 100%.

Conclusions: Monitoring intraabdominal pressure is a valuable adjunct to decision making while caring for these
high-risk critically ill patients.

Get Citation

Keywords

severe acute pancreatitis, intraabdominal pressure, ECMO

About this article
Title

Intra-abdominal hypertension complicating pancreatitis-induced acute respiratory distress syndrome in three patients on extracorporeal membrane oxygenation

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 48, No 1 (2016)

Pages

29-33

Published online

2015-11-16

DOI

10.5603/AIT.a2015.0071

Bibliographic record

Anaesthesiol Intensive Ther 2016;48(1):29-33.

Keywords

severe acute pancreatitis
intraabdominal pressure
ECMO

Authors

Lee Feddy
Julian Barker
Pete Fawcett
Ignacio Malagon

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

VM Media sp. z o.o. VM Group sp.k., Grupa Via Medica, Świętokrzyska 73 St., 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl