Two Case Studies of Cardiopulmonary Effects of Intra-abdominal Hypertension
Division of General Surgery, University of Utah School of Medicine, 30 North 1900 East, 3B 110, Salt Lake City, UT 84132, USA. Electronic address: .Surgical Clinics of North America (Impact Factor: 1.88). 12/2012; 92(6):1679-84. DOI: 10.1016/j.suc.2012.08.017
Intra-abdominal hypertension falsely elevates the pulmonary artery pressure. Volumetric pulmonary artery catheter monitoring is an optionfor estimating preload in this condition. Treatment of intra-abdominal hypertension begins with medical therapy but once abdominal compartment syndrome develops it requires decompressive laparotomy for definitive management. Pulmonary hypertension reduces cardiac function which may be improved with inotropes that simultaneously reduce pulmonary artery pressure. Oxygenation may be improved with elevated PEEP and FiO(2).
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