Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2011  |  Volume : 55  |  Issue : 4  |  Page : 384-387

Abdominal compartment syndrome successfully treated with neuromuscular blockade


1 Department of Emergency Medicine, Alameda County Medical Center - Highland Campus, Oakland, CA, USA
2 Department of Internal Medicine, Alameda County Medical Center - Highland Campus, Oakland, CA, USA

Correspondence Address:
Kris T Chiles
Alameda County Medical Center - Highland Campus, 1411 East 31st Street, Oakland, CA 94602-1018
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.84867

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A 48 year old male admitted to the intensive care unit after a cardiac arrest complicated by a stroke intra-operatively during automatic implantable cardioverter defibrillator placement. He post-operatively developed a rigid abdomen, elevated peak and plateau pressures, hypoxia and renal insufficiency. He was diagnosed with abdominal compartment syndrome with an intra-abdominal compartment pressure of 40mmHg. The patient was administered 10 mg of intravenous cisatracuriumbesylate in preparation for bedside surgical abdominal decompression. Cisatracurium eliminated the patients need for surgical intervention by reducing his abdominal compartment pressures to normal and improving his hypoxia and renal function. This case illustrates that neuromuscular blockade should be attempted in patients with abdominal compartment syndrome prior to surgical intervention.


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