Gastroenterology
Intestinal ischemia, intra-abdominal hypertension & abdominal compartment syndrome
Intestinal ischemia, particularly acute mesenteric ischemia (AMI), is a life-threatening condition that requires urgent intervention. Early diagnosis through imaging and biomarkers, along with prompt revascularization strategies, is crucial for improving outcomes. Comprehensive postoperative care and management of complications, such as reperfusion injury, are essential. Prevention strategies for high-risk patients are also emphasized to reduce mortality.
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are critical conditions associated with significant morbidity and mortality. Clear definitions and guidelines for measuring intra-abdominal pressure (IAP) and managing IAH and ACS are essential for early recognition and effective intervention. A multidisciplinary approach, including medical and surgical interventions, is recommended to improve patient outcomes. Prevention strategies for high-risk patients are also highlighted to minimize the occurrence of these conditions.
Intestinal ischemia
Acute mesenteric ischemia
Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery
Miklosh Bala et al., World Journal of Emergency Surgery (2017)
What’s inside
This article provides WSES guidelines for the diagnosis and management of acute mesenteric ischemia (AMI), a life-threatening condition requiring urgent intervention.
Why it’s relevant
AMI is associated with high mortality, and timely diagnosis and treatment are critical to improve outcomes.
Key focus
- Diagnostic approaches, including imaging and biomarkers
- Surgical and endovascular treatment strategies
- Postoperative care and management of complications
- Prevention strategies for high-risk patients
Takeaway
The guidelines emphasize early diagnosis, prompt revascularization, and multidisciplinary care to reduce mortality and improve outcomes in AMI patients.
Acute mesenteric ischemia
Managing acute mesenteric ischaemia
Annika Reintam Blaser et al., Intensive Care Medicine (2024)
What’s inside
This article provides an updated review of the management of acute mesenteric ischemia (AMI), focusing on diagnostic and therapeutic strategies in critically ill patients.
Why it’s relevant
AMI is a life-threatening condition with high mortality, requiring rapid diagnosis and intervention to improve outcomes.
Key focus
- Early diagnostic tools, including CT angiography and biomarkers
- Surgical and endovascular revascularization techniques
- Postoperative care and management of complications (e.g., reperfusion injury)
- Strategies for prevention and early detection in high-risk patients
Takeaway
The article highlights the importance of early diagnosis, timely revascularization, and comprehensive postoperative care to reduce mortality and improve outcomes in AMI patients.
Acute mesenteric ischemia | radiology
An Overview of Acute Mesenteric Ischemia
Arash Mirrahim et al., Applied Radiology (2021)
Summary will be added soon...
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS)
Intra-abdominal hypertension (IAH) and the abdominal compartment syndrome (ACS)
Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
Andrew W. Kirkpatrick et al., Intensive Care Medicine (2013)
What’s inside
This article presents updated consensus definitions and clinical practice guidelines for intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) from the World Society of the Abdominal Compartment Syndrome.
Why it’s relevant
IAH and ACS are critical conditions in intensive care medicine, associated with significant morbidity and mortality. Clear definitions and guidelines are essential for early recognition and effective management.
Key focus
- Updated definitions of IAH and ACS
- Recommendations for measuring intra-abdominal pressure (IAP)
- Strategies for managing IAH and ACS, including medical and surgical interventions
- Prevention of IAH in high-risk patients
- Importance of multidisciplinary care and monitoring
Takeaway
The guidelines emphasize the importance of early detection and intervention in IAH and ACS to improve patient outcomes. A structured approach to measurement and management is recommended, along with a multidisciplinary team effort.