Four cases of abdominal compartment syndrome in patients suffering major burns, who were treated at Hamilton General Hospital, Hamilton, Ontario, from January 1998 to June 2003, are reported. The pathophysiological changes, and the high morbidity and mortality associated with this condition are also described. The significance of early diagnosis of this syndrome is discussed. The literature is reviewed and a protocol is suggested for measuring urinary bladder pressure when managing major burns.
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IvyM.E., AtwehN.A., PalmerJ., PossentiP.P., PineauM., DAiutoM.. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients.J Trauma2000; 49: 38791.
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HobsonK.G., YoungK.M., CirauloA., PalmieriT.L., GreenhalghD.G.. Release of abdominal compartment syndrome improves survival in patients with burn injury.J Trauma2002; 53: 112934.
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LatenserB.A., Kowal-VernA., KimballD., ChakrinA., DujovnyN.. A pilot study comparing percutaneous decompression with decompressive laparotomy for acute abdominal compartment syndrome in thermal injury.J Burn Care Rehabil2002; 23: 1905.
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