BACKGROUND Severe acute pancreatitis is associated with sever multiorgan failure from 15 to 50%, depending on the series. In some of these patients, conventional methods of ventilation and respiratory support will fail, demanding the use of extracorporeal membrane oxygenation (ECMO). Abdominal compartment syndrome is potentially harmful in this cohort of patients. We describe the successful tre...

Various systems are involved in this syndrome. First, the increased intra-abdominal pressure is transmitted to the pleural space so that lung compliance decreases. Hypoventilation and alteration of ventilation/perfusion distribution lead to hypoxemia and hypercapnia. When mechanical ventilation is applied, very high inspiratory pressures are often required to deliver tidal volume. Second, the c...

Abdominal compliance (AC) is an important determinant and predictor of available workspace during laparoscopic surgery. Furthermore, critically ill patients with a reduced AC are at an increased risk of developing intra-abdominal hypertension and abdominal compartment syndrome, both of which are associated with high morbidity and mortality. Despite this, AC is a concept that has been neglected ...

Abbreviations: ACS: Abdominal Compartment Syndrome; APACHE-II: Acute Physiology and Chronic Health Evaluation II; CT: Computed Tomography; CVVH: Continuous Renal Replacement Therapy; DCO: Damage Control Operation; EVAR: Endovascular Aneurysm Repair; IAH: Intra-abdominal Hypertension; IAP: Intraabdominal Pressure; ICU: Intensive Care Unit; MODS: Multiple Organ Dysfunction Syndrome; rAAA: Rupture...

BACKGROUND Robot-assisted laparoscopic prostatectomy is increasingly performed as a minimally invasive option for patients with organ-confined prostate cancer. This technique offers several advantages over other surgical methods. However, concerns have been raised over the effects of the steep head-down tilt necessary during the procedure. We present a case in which head-down positioning and ab...

wo women with gastrointestinal malignancies leading to increased abdominal pressure from their copious ascites presented irreducible pelvic organ prolapse.

Delirium can be caused by haemodynamics abnormalities during anaesthesia. The main role in delirium appearance is given to decreasing of cerebral perfusion pressure. Especially it can happen in patients with underlying intracranial hypertension. Anaesthetics effects on intracranial pressure are different therefore cerebral hypoperfusion can happens in these patients even without systemic hypote...