Abdominal compartment syndrome (ACS) is defined as sustained intra-abdominal pressure (IAP) of >20 mmHg with the presence of an attributable organ failure. Intra-abdominal hypertension (IAH) may contribute to splanchnic hypoperfusion, intestinal perforation and multiple organ failure. A major cause of morbidity and mortality after ruptured abdominal aortic aneurysm (rAAA) is ACS, which is estimated to develop in 20% of the patients. In the largest series of patients with rAAA treated with endovascular aneurysm repair (EVAR), mortality of ACS patients was 30%. ACS and intestinal perforation are identified as predictive factors for increased ICU mortality and morbidity, for which reason future vigilance and appropriate management of them remains critically important in rAAA. The lesson to be learned from this case is that DCO and conservative fluid strategy should be taken timely to avoid the subsequently ACS. DCO is conducted to break the reinforcing cycle of hypothermia, coagulopathy, and acidosis after catastrophic intraabdominal vascular events. Efforts should be made to find a balance between giving sufficient fluid therapy to maintain hemodynamic stability and organ perfusion while avoiding overzealous volume administration. This may be achieved by a neutral or slightly negative fluid balance. It is anticipated that these important concepts need to be even wider application in the future. OMICS Group International is one of the leading Open Access Publishing houses, which has around 700+ peer-reviewed journals, 50,000+ editorial board members, and highly qualified, expert reviewers to meet the objectives of the Peer-Review Process. OMICS Group International peer-review policies are highly appreciated, accepted and adaptable to the criteria that have been prescribed by the international agencies such as NIH, PubMed etc. OMICS Group International also organizes 3000+ International Scientific Conferences per year globally. There is a great deal of information out there on scientific topics. However, whether it can be trusted or not is a key issue at present. The main question that often emerges in this aspect is about the review process adopted to screen the articles for publication. One of the most acceptable and proven process adopted in majority reputed international journals is peer reviewing.
Benefits of peer-review:
â¢ Establishes the legitimacy of exploration based upon the expert information of different specialists in the order, consequently averting adulterated work from being acknowledged within an area of study.
â¢ Provides significant criticism with the intention that scientists can revise and enhance their papers before Publication.
â¢ Enables Journal editors to select the most important research findings for publication in their journals, based upon the subject, independent reviews of an expert group.
â¢ The process of peer review is comprehended and acknowledged by the majority of researchers. The forum includes experts, those who have common area of interest, expertise and experience to evaluate the work to be published. The reviewers will be given priority utmost to reflect the appraisals of a research work and to extract the potentialities of the researcher.
Last date updated on July, 2014