Abdominal Compartment Syndrome

Which of the following is considered the normal intra-abdominal pressure?

• A. 10 mm Hg
• B. 15 mm Hg
• C. 5 mm Hg
• D. 20 mm Hg

What is the threshold intra-abdominal pressure for diagnosing abdominal compartment syndrome (ACS)?

• A. 15 mm Hg
• B. 17 mm Hg
• C. 20 mm Hg
• D. 25 mm Hg

Which of the following patient conditions might indicate a possible intra-abdominal hypertension or ACS?

• A. Decreasing vasopressor requirements
• B. Signs of hypoperfusion
• C. Decreased vent alarms
• D. Signs of hyperperfusion

In order to prevent false elevations when measuring bladder pressure, it is recommended that:

• A. The patient should be in a standing position
• B. Pressure should be measured at end-inspiration
• C. The patient should be fully sedated
• D. The pressure should be measured when the patient is tensing their abdomen

What is the recommended frequency for monitoring a patient with intra-abdominal pressure ≥12 mm Hg?

• A. Every 30 minutes
• B. Every 1-2 hours
• C. Every 4-6 hours
• D. Every 8-10 hours

For a patient with intra-abdominal pressure ≥20 mm Hg and end-organ damage, which of the following steps should be taken?

• A. Monitor frequently and continue regular management
• B. Consult surgery and begin medical management
• C. Perform immediate surgery
• D. Discharge the patient with close follow-up

Which of the following strategies is not part of the medical management for intra-abdominal hypertension or ACS?

• A. Placement of a nasogastric (NG) tube
• B. Performance of a large-volume paracentesis if ascites is present
• C. Deep sedation
• D. Placement of the patient in a prone position

What is the definitive management for abdominal compartment syndrome (ACS)?

• A. Aggressive diuresis
• B. Surgical laparotomy and leaving the abdomen open
• C. Placement of a nasogastric (NG) tube
• D. Continuous veno-venous hemofiltration dialysis (CVVHD)

What is tension pneumoperitoneum?

• A. A condition where the intra-abdominal pressure is less than 5 mm Hg
• B. A condition that has a different pathophysiology compared to standard ACS
• C. A condition where the intra-abdominal pressure is greater than 25 mm Hg
• D. A condition that creates the same pathophysiology as standard ACS

In the case mentioned, how was compartment syndrome temporarily relieved?

• A. By placing a nasogastric tube
• B. By performing a large-volume paracentesis
• C. By placing a 14-gauge angiocatheter
• D. By performing a surgical laparotomy