Management of abdominal compartment syndrome during extracorporeal life support


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Abstract

Objective:To describe the successful use of a peritoneal dialysis catheter for emergent decompression of abdominal compartment syndrome during extracorporeal life support for septic shock.Design:Case report.Setting:Pediatric intensive care unit at a freestanding tertiary children's hospital.Patient:Two-year-old toddler with influenza A complicated by methicillin-resistant Staphylococcus aureus pneumonia and septic shock.Interventions:Placement of peritoneal dialysis catheter.Measurements and Main Results:Changes in hemodynamic and respiratory parameters. Improvement in extracorporeal membrane oxygenation venous drainage with subsequent survival.Conclusions:Although the standard therapy for abdominal compartment syndrome is decompressive laparotomy, a minimally invasive percutaneous approach may be effective and should be considered in selected patients.

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