Surgical Abdominal Decompression Procedure

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Questions and Answers

What is the purpose of a temporary abdominal closure after surgical abdominal decompression?

  • To prevent abdominal wall retraction with ventral hernia development
  • To prevent fistula formation
  • To decrease the risk of wound infection (correct)
  • To reduce protein loss by drainage of peritoneal fluid

Why is the ideal timing for surgical decompression in abdominal compartment syndrome debatable?

  • Because it can lead to rapid improvement in organ dysfunction
  • Because it can only be done in the ICU at the bedside
  • Because it is associated with many complications
  • Because early pursuit of surgical intervention can exacerbate patient stress (correct)

What is a potential complication associated with leaving the abdominal wall open after surgical decompression?

  • Abdominal wall retraction with ventral hernia development (correct)
  • Reduced protein loss by drainage of peritoneal fluid
  • Prevention of fistula formation
  • Increase in organ dysfunction

Under what conditions is surgical decompression indicated for patients with increased intra-abdominal pressure (IAP)?

<p>When the Abdominal Perfusion Pressure (APP) is less than 50 (D)</p> Signup and view all the answers

What is the most effective therapeutic approach to achieve abdominal decompression when conservative therapy fails?

<p>Emergency laparotomy (C)</p> Signup and view all the answers

When should surgical decompression be considered for patients with intra-abdominal hypertension (IAH) according to the text?

<p>When conservative medical management does not lead to improved IAH and further organ damage is noted (D)</p> Signup and view all the answers

What is the formula for Abdominal Perfusion Pressure (APP) as mentioned in the text?

<p>$MAP-IAP$ (C)</p> Signup and view all the answers

What is the recommended interval for taking pressure measurements to identify worsening intra-abdominal hypertension (IAH)?

<p>Every 6 hours (A)</p> Signup and view all the answers

Which condition is a contraindication for pressure measurements in the bladder?

<p>Neurogenic bladder (C)</p> Signup and view all the answers

What is the goal of non-surgical treatment for abdominal compartment syndrome (ACS)?

<p>To evacuate intraluminal contents (D)</p> Signup and view all the answers

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