The Experts below are selected from a list of 6393 Experts worldwide ranked by ideXlab platform
Ari Leppäniemi - One of the best experts on this subject based on the ideXlab platform.
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Intra-Abdominal hypertension and the Abdominal Compartment Syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
Intensive care medicine, 2013Co-Authors: Andrew W. Kirkpatrick, Derek J. Roberts, Jan J. De Waele, Roman Jaeschke, Manu L N G Malbrain, Bart L De Keulenaer, Juan Duchesne, Martin Björck, Ari Leppäniemi, J. Chiaka EjikeAbstract:Purpose To update the World Society of the Abdominal Compartment Syndrome (WSACS) consensus definitions and management statements relating to intra-Abdominal hypertension (IAH) and the Abdominal Compartment Syndrome (ACS).
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surgical decompression for Abdominal Compartment Syndrome in severe acute pancreatitis
Archives of Surgery, 2010Co-Authors: Panu Mentula, Piia Hienonen, Esko Kemppainen, Pauli Puolakkainen, Ari LeppäniemiAbstract:Hypothesis In patients with severe acute pancreatitis and Abdominal Compartment Syndrome, establishment of the indications and optimal time for surgical decompression may avoid exacerbation of multiple-organ dysfunction Syndrome. Design Retrospective study. Setting Tertiary care university teaching hospital. Patients Twenty-six consecutive patients with severe acute pancreatitis and Abdominal Compartment Syndrome treated by surgical decompression between January 1, 2002, and December 31, 2007. Intervention Surgical decompression of the abdomen. Main Outcome Measures Morbidity, mortality, and organ dysfunction before and after surgical decompression. Results At the time of surgical decompression, the median sequential organ failure assessment score among patients was 12 (interquartile range, 10-15), and the median intra-Abdominal pressure was 31.5 (interquartile range, 27-35) mm Hg. After surgical decompression, renal or respiratory function was improved in 14 patients (54%). The overall hospital mortality was 46%, but mortality was 18% among 17 patients in whom surgical decompression was performed within the first 4 days after disease onset. Conclusions Patients with severe acute pancreatitis and Abdominal Compartment Syndrome managed by surgical decompression had severe multiple-organ dysfunction Syndrome and high mortality. Surgical decompression may improve renal or respiratory function. Early surgical decompression is associated with reduced mortality in patients with severe acute pancreatitis, early multiple-organ dysfunction Syndrome, and Abdominal Compartment Syndrome.
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Abdominal Compartment Syndrome
Duodecim; laaketieteellinen aikakauskirja, 2010Co-Authors: Ari LeppäniemiAbstract:Elevated intra-Abdominal pressure causes functional disturbances for the cardiovascular system, respiration, kidneys and the intestinal tract. Causes underlying the Abdominal Compartment Syndrome include in most cases a major Abdominal operation, severe Abdominal trauma, pancreatitis, burn injury or sepsis. The diagnosis is based on the measurement of intra-Abdominal pressure by using a urinary catheter. As the first-line treatment, attempts are made to decrease the volume of Abdominal contents, with a concomitant optimisation of the patient's hemodynamics. If the pressure is not adequately lowered or the condition progresses, the Abdominal cavity is opened, the Abdominal walls are left open and later closed.
M Gomillion - One of the best experts on this subject based on the ideXlab platform.
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Abdominal Compartment Syndrome during hip arthroscopy
Anaesthesia, 2009Co-Authors: A Sharma, H Sachdev, M GomillionAbstract:Hip arthroscopy is recognised as a highly effective means of treating joint disorders. The majority of complications associated with hip arthroscopy involve neurovascular traction injury. We report a relatively unusual complication of hip arthroscopy, extravasation of irrigation fluid into the retroperitoneal and intraperitoneal cavities, resulting in Abdominal Compartment Syndrome.
Andrew W. Kirkpatrick - One of the best experts on this subject based on the ideXlab platform.
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Intra-Abdominal hypertension and the Abdominal Compartment Syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
Intensive care medicine, 2013Co-Authors: Andrew W. Kirkpatrick, Derek J. Roberts, Jan J. De Waele, Roman Jaeschke, Manu L N G Malbrain, Bart L De Keulenaer, Juan Duchesne, Martin Björck, Ari Leppäniemi, J. Chiaka EjikeAbstract:Purpose To update the World Society of the Abdominal Compartment Syndrome (WSACS) consensus definitions and management statements relating to intra-Abdominal hypertension (IAH) and the Abdominal Compartment Syndrome (ACS).
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Abdominal Compartment Syndrome in trauma resuscitation.
Current opinion in anaesthesiology, 2010Co-Authors: Sandro Rizoli, Anita Mamtani, Sandro Scarpelini, Andrew W. KirkpatrickAbstract:Purpose of reviewSwelling is inexorably linked to shock and resuscitation in trauma. In many forms, swelling complicates and interacts with traumatic injury to raise pressures in the abdomen, resulting in intraAbdominal hypertension, which may overtly manifest as Abdominal Compartment Syndrome (ACS)
A Sharma - One of the best experts on this subject based on the ideXlab platform.
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Abdominal Compartment Syndrome during hip arthroscopy
Anaesthesia, 2009Co-Authors: A Sharma, H Sachdev, M GomillionAbstract:Hip arthroscopy is recognised as a highly effective means of treating joint disorders. The majority of complications associated with hip arthroscopy involve neurovascular traction injury. We report a relatively unusual complication of hip arthroscopy, extravasation of irrigation fluid into the retroperitoneal and intraperitoneal cavities, resulting in Abdominal Compartment Syndrome.
Panu Mentula - One of the best experts on this subject based on the ideXlab platform.
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surgical decompression for Abdominal Compartment Syndrome in severe acute pancreatitis
Archives of Surgery, 2010Co-Authors: Panu Mentula, Piia Hienonen, Esko Kemppainen, Pauli Puolakkainen, Ari LeppäniemiAbstract:Hypothesis In patients with severe acute pancreatitis and Abdominal Compartment Syndrome, establishment of the indications and optimal time for surgical decompression may avoid exacerbation of multiple-organ dysfunction Syndrome. Design Retrospective study. Setting Tertiary care university teaching hospital. Patients Twenty-six consecutive patients with severe acute pancreatitis and Abdominal Compartment Syndrome treated by surgical decompression between January 1, 2002, and December 31, 2007. Intervention Surgical decompression of the abdomen. Main Outcome Measures Morbidity, mortality, and organ dysfunction before and after surgical decompression. Results At the time of surgical decompression, the median sequential organ failure assessment score among patients was 12 (interquartile range, 10-15), and the median intra-Abdominal pressure was 31.5 (interquartile range, 27-35) mm Hg. After surgical decompression, renal or respiratory function was improved in 14 patients (54%). The overall hospital mortality was 46%, but mortality was 18% among 17 patients in whom surgical decompression was performed within the first 4 days after disease onset. Conclusions Patients with severe acute pancreatitis and Abdominal Compartment Syndrome managed by surgical decompression had severe multiple-organ dysfunction Syndrome and high mortality. Surgical decompression may improve renal or respiratory function. Early surgical decompression is associated with reduced mortality in patients with severe acute pancreatitis, early multiple-organ dysfunction Syndrome, and Abdominal Compartment Syndrome.
