logging in or signing up abdominal compartment syndrome grprasad Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 998 Category: Education License: All Rights Reserved Like it (2) Dislike it (2) Added: August 19, 2010 This Presentation is Public Favorites: 2 Presentation Description No description available. Comments Posting comment... By: shamsun (23 month(s) ago) this ppt. is great for surgeon Saving..... Post Reply Close Saving..... Edit Comment Close By: preeti15 (25 month(s) ago) hi...i really like this presentation as its very precise. I am a 4th year medical student at a University in the South Pacific. Can I please have permission to download this? thanks. Saving..... Post Reply Close Saving..... Edit Comment Close By: vrajgarg (29 month(s) ago) very good presentation , can i please download it Saving..... Post Reply Close Saving..... Edit Comment Close By: masrawy_forever (31 month(s) ago) very excellent presentation thanks Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Slide 1: Abdominal Compartment Syndrome Slide 2: Definition APP = MAP - IAP < 60 mm Hg ( Abdominal Perfusion Pressure) WS ACS : 2004 Slide 3: WSACS: 2004 Definition 5 mm OF Hg IAH : > 12mm Hg minimum 3 mean 4-6 hly measurements Or APP = < 60 2 standard measurements Slide 4: Grades of IAH Grade I : 12 -- 15 Grade II :16– 20 Grade III:21– 25 Grade IV: > 25 ACS > 20 with MSOD Slide 5: Types Primary 2. Secondary Tertiary Slide 6: Primary ACS Abdomino Pelvic Surgery Or Angiogram After damage control surgery Penetrating Injury Pelvic fracture with bleeding Massive Retroperitoneal Hematoma Liver Transplant Slide 7: Secondary ACS Sepsis Leak Burns Slide 8: Tertiary ACS ACS recurring after Treatment of ACS Slide 9: Effect of ACS Increased Intra abdominal Pressure Decreased Cardiac Output Slide 10: ACS An Independent Risk Factor Slide 11: ACS -- Patho physiology Virtually affects all organs Slide 12: ACS – Respiratory System Increased IAP Increased Diaphragmatic compression Basal Collapse Decreased VO2 Airway Pressure Airway Pressure _ AIP/ 2 Slide 13: BP ACS – Cardiao vascular System IVC Pre load CO Aorta Perfusion Pressure Increased Resistance Dual Impact Slide 14: ACS - GIT Vicious Cycle Vicious Cycle ACS ACS Slide 15: ACS - AKI Increased ADH – Stress Response CO – Renal Blood Flow Direct ureteric Compression 1. 3. 2. AKI Slide 16: ACS - CNS Venous Flow from Head ICP Routine IAP in all TBI Slide 17: Diagnosis Slide 18: Gold Standard Transducer as in Laparoscopy Slide 19: Intra abdominal Pressure Trans vesical Pressure Trans Rectal Trans Femoral Trans Vaginal Intra Gastric Trans Esophageal Slide 20: Ideal------- Simultaneous Intra esophageal and Intra gastric pressures Slide 21: High Risk Groups Major Abdominal Injury Blunt / penetrating injury IP/ RP Bleed Massive fluid resuscitation Severe Sepsis- Capillary leak Pancreatitis Burns Liver Disease / Transplantation Ileus Pseudo obstruction Slide 22: Frequency Of measurement--- 4 – 6 Hly Increased : Hourly, Continue following treatment for ACS/ IAH Slide 23: Treatment Medical Minimally Invasive Increasing abdominal compliance Surgical Slide 24: Decompression of Bowel Correct Electrolyte abnormality Promote Motility Neostigmine Endoscopy Slide 25: Reducing intra abdominal Fluid & Edema RRT Lasix + Albumin Limit fluids EGDT- Fluids S Lactate CVP VO2 CT Guided aspiration Slow vs. rapid Avoid Reperfusion injury Slide 26: Increasing abdominal Compliance Muscle Relaxants Negative pressure cuirasses Does not reverse AC , buy time for definitive therapy Slide 27: Surgical Techniques Gold Standard Surgical Decompression Primary or Delayed Slide 28: Primary TAC : Bogota Bag VAC : Fecal Fistula Slide 29: Minimize reperfusion Sequel Aggressive Fluid resuscitation prior to decompression Na HCO3 Mannitol Free radical Scavengers Anti oxidants You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.