Early Decompressive Laparotomy for Intra-Abdominal Hypertension Following Initiation of Venovenous Extracorporeal Membrane Oxygenation. Issue 5 (May 2020)

• Record Type: Journal Article
• Authors: Boulos, Francesca M.; Pasrija, Chetan; DiChiacchio, Laura; Rouse, Michael; Raithel, Maxwell; Mackowick, Kristen; Rector, Raymond; Mazzeffi, Michael A.; Griffith, Bartley P.; Diaz, Jose J.; Kon, Zachary N.; Deatrick, Kristopher B.
• Is Part Of: ASAIO journal. Volume 66:Issue 5(2020)
• Publication Date: 2020-05
• Subjects: intra-abdominal hypertension -- abdominal compartment syndrome -- venovenous extracorporeal membrane oxygenation -- decompressive laparotomy; Artificial organs -- Periodicals; 617
• DOI: 10.1097/MAT.0000000000001045
• Languages: English
• ISSNs: 1058-2916

Abstract

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.