From: The open abdomen, indications, management and definitive closure
System | Effect | Manifestation |
---|---|---|
Renal | Renal vein compression, cortical arteriolar compression | Oliguria, rising creatinine |
Pulmonary | Upward pressure on diaphragm, decreased compliance and functional residual capacity, increased air way resistance | Hypoxia, hypercarbia, elevated airway pressure, decreased tidal volume |
Cardiovascular | Decreased venous return, increased afterload | Decreased cardiac output |
Cerebral | Increased intrathoracic pressure with decreased cerebral venous outflow | Elevated Intra Cranial Pressure |
Splanchnic | Decreased perfusion of liver and intestine | Metabolic acidosis, bowel ischemia |