Title

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

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.

Share

COinS