Sudden ventilatory difficulty during endoscopic retrograde cholangiopancreatography: an unusual case of Abdominal Compartment Syndrome
DOI:
https://doi.org/10.25751/rspa.29235Keywords:
Intra-abdominal Hypertension, Endoscopy, Digestive System, Critical Illness, Respiration, ArtificialAbstract
Abdominal Compartment Syndrome (ACS) has a high mortality rate and clinical signs and imaging tests are non-specific, therefore the diagnosis may not be immediate. We describe the case of a patient ASA PS IV with a diagnosis of cholangiopancreatitis proposed for endoscopic retrograde cholangiopancreatography under general anaesthesia, who developed a sudden mechanical ventilatory difficulty associated with hemodynamic changes during the procedure. With this case we aim to highlight ACS as a potential cause of sudden difficulty with mechanical ventilation in critically ill patients and the importance of early measurement of intra-abdominal pressure to avoid delays in diagnosis and improve the patient outcomes.
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Copyright (c) 2023 Adriana Santos, Sara Matos, Lígia Reis, Paula Fernandes
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