Early Decompressive Laparotomy for Intra-Abdominal Hypertension following Initiation of Venovenous Extracorporeal Membrane Oxygenation

Authors

Francesca M. Boulos, University of Maryland School of Medicine
Chetan Pasrija, University of Maryland School of Medicine
Laura Dichiacchio, University of Maryland School of Medicine
Michael Rouse, University of Maryland School of Medicine
Maxwell Raithel, University of Maryland School of Medicine
Kristen Mackowick, University of Maryland School of Medicine
Raymond Rector, University of Maryland Medical Center
Michael A. Mazzeffi, University of Maryland School of Medicine
Bartley P. Griffith, University of Maryland School of Medicine
Jose J. Diaz, University of Maryland School of Medicine
Zachary N. Kon, NYU Grossman School of Medicine
Kristopher B. Deatrick, University of Maryland School of Medicine

Document Type

Journal Article

Publication Date

1-1-2020

Journal

ASAIO Journal

DOI

10.1097/MAT.0000000000001045

Keywords

abdominal compartment syndrome; decompressive laparotomy; intra-abdominal hypertension; venovenous extracorporeal membrane oxygenation

Abstract

Patients supported with venovenous extracorporeal membrane oxygenation are at risk for intra-abdominal hypertension and abdominal compartment syndrome. Flow through the return cannula may be compromised in these patients, resulting in inadequate support and end-organ malperfusion. Early decompressive laparotomy can mitigate these complications and potentially improve outcomes. Here we review a series of nine patients undergoing early decompressive laparotomy for abdominal compartment syndrome at a single institution and propose an algorithmic approach to the management of these patients.

APA Citation

Boulos, F., Pasrija, C., Dichiacchio, L., Rouse, M., Raithel, M., Mackowick, K., Rector, R., Mazzeffi, M., Griffith, B., Diaz, J., Kon, Z., & Deatrick, K. (2020). Early Decompressive Laparotomy for Intra-Abdominal Hypertension following Initiation of Venovenous Extracorporeal Membrane Oxygenation. ASAIO Journal, (). http://dx.doi.org/10.1097/MAT.0000000000001045