Early Decompressive Laparotomy for Intra-Abdominal Hypertension following Initiation of Venovenous Extracorporeal Membrane Oxygenation
abdominal compartment syndrome; decompressive laparotomy; intra-abdominal hypertension; venovenous extracorporeal membrane oxygenation
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.
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