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Percutaneous catheter decompression in the treatment of elevated intraabdominal pressure.

Authors
  • Cheatham, Michael L1
  • Safcsak, Karen2
  • 1 Department of Surgical Education, Orlando Regional Medical Center, Orlando, FL. Electronic address: [email protected]
  • 2 Department of Surgical Education, Orlando Regional Medical Center, Orlando, FL.
Type
Published Article
Journal
CHEST Journal
Publisher
Elsevier
Publication Date
December 2011
Volume
140
Issue
6
Pages
1428–1435
Identifiers
DOI: 10.1378/chest.10-2789
PMID: 21903735
Source
Medline
License
Unknown

Abstract

Intensivist-performed PCD is an effective and less-invasive technique for treating patients with IAH/ACS where free intraperitoneal fluid or blood is present as determined by bedside ultrasonography. Failure to drain at least 1,000 mL of fluid and decrease IAP by at least 9 mm Hg in the first 4 h postdecompression is associated with PCD failure and should prompt urgent OAD.

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