{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:33:27Z","timestamp":1777444407988,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2005,11,1]],"date-time":"2005-11-01T00:00:00Z","timestamp":1130803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2005,11]]},"abstract":"<jats:p>\n                    Primary and secondary abdominal compartment syndrome (ACS) are well-recognized entities after trauma. The current study describes a \u201chyperacute\u201d form of secondary ACS (HACS) that develops intraoperatively while repair of extra-abdominal injuries is being carried out simultaneous with massive resuscitation for shock caused by those injuries. The charts of patients requiring abdominal decompression (AD) for HACS at time of extra-abdominal surgery at our level I trauma center were reviewed. The following data was gathered: age, Injury Severity Score (ISS), mechanism, resuscitation details, time to AD, time to abdominal closure, and outcome. All continuous data are presented as mean \u00b1 standard error of mean. Hemodynamic and ventilatory data pre- and post-AD was compared using paired t test with significance set at P &lt; 0.05. Five (0.13%) of 3,750 trauma admissions developed HACS during the 15-month study period ending February 2004. Mean age was 32 \u00b1 7 years, and mean ISS was 19 \u00b1 2. Four of five patients arrived in hemorrhagic shock (blunt subclavian artery injury, 1; chest gunshot, 1; gunshot to brachial artery, 1; stab transection of femoral vessels, 1) and were immediately operated upon. One of five patients (70% burn) developed HACS during burn wound excision on day 2. HACS developed after massive crystalloid (15 \u00b1 1.7 L) and blood (11 \u00b1 0.4 units) resuscitation during prolonged surgery (4.8 \u00b1 0.8 hours). Pre- versus post-AD comparisons revealed significant ( P &lt; 0.05) improvements in mean arterial pressure (55 \u00b1 6 vs 88 \u00b1 3 mm Hg), peak airway pressure (44 \u00b1 5 vs 31 \u00b1 2 mm Hg), tidal volume (432 \u00b1 96 vs 758 \u00b1 93 mL), arterial pH (7.16 \u00b1 0.0 vs 7.26 \u00b1 0.04), and PaCO\n                    <jats:sub>2<\/jats:sub>\n                    (52 \u00b1 6 vs 45 \u00b1 6 mm Hg). There was no mortality among the group, and all patients underwent abdominal closure by fascial reapproximation in 2\u20135 days. Two (40%) of the five patients required extremity fasciotomy for compartment syndrome. HACS is a rare complication of massive resuscitation for extra-abdominal injuries. It should be considered in such patients in the face of unexplained hemodynamic and\/or ventilatory decompensation. Prompt AD is life saving. Early abdominal closure is usually possible. Vigilance for compartment syndromes elsewhere in the body is warranted in any patient with HACS.)\n                  <\/jats:p>","DOI":"10.1177\/000313480507101113","type":"journal-article","created":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T03:40:58Z","timestamp":1592365258000},"page":"977-981","source":"Crossref","is-referenced-by-count":41,"title":["Hyperacute Abdominal Compartment Syndrome: An Unrecognized Complication of Massive Intraoperative Resuscitation for Extra-abdominal Injuries"],"prefix":"10.1177","volume":"71","author":[{"given":"Edgar B.","family":"Rodas","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Trauma\/Critical Care, Virginia Commonwealth University Medical Center, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajai K.","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma\/Critical Care, Virginia Commonwealth University Medical Center, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reena","family":"Chhitwal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma\/Critical Care, Virginia Commonwealth University Medical Center, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel B.","family":"Aboutanos","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma\/Critical Care, Virginia Commonwealth University Medical Center, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Therese M.","family":"Duane","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma\/Critical Care, Virginia Commonwealth University Medical Center, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rao R.","family":"Ivatury","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma\/Critical Care, Virginia Commonwealth University Medical Center, Richmond, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,11,1]]},"reference":[{"key":"bibr1-000313480507101113","doi-asserted-by":"publisher","DOI":"10.1152\/ajplegacy.1922.61.1.159"},{"key":"bibr2-000313480507101113","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199809000-00033"},{"key":"bibr3-000313480507101113","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(05)70483-7"},{"key":"bibr4-000313480507101113","first-page":"745","volume":"180","author":"Schein M.","year":"1995","journal-title":"J Am Coll Surg"},{"key":"bibr5-000313480507101113","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199207000-00010"},{"key":"bibr6-000313480507101113","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2004.03712.x"},{"key":"bibr7-000313480507101113","first-page":"625","volume":"52","author":"Oda 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