Original articles

Acute abdominal compartment syndrome in a severely burned patient: Lack of colloid fluid availability in acute resuscitation may play a role

S Botes, W G Kleintjies, E P Kotzee, B Bulajic, A Fredericks, J L Burke, J Buys

Abstract


We report on a case in which a 27-year-old male patient sustained a significant burn injury requiring admission to the intensive care unit, with respiratory support and close haemodynamic monitoring. Owing to a lack of colloid resuscitation fluids, crystalloid fluids were used exclusively. The volume of fluid required to maintain an adequate urine output also resulted in fluid sequestration in other body compartments, eventually resulting in abdominal compartment syndrome. We believe this life-threatening complication could have been avoided had colloids been available


Authors' affiliations

S Botes, Western Cape Provincial Tertiary Adult Burn Unit, Division of Surgery, Tygerberg Hospital and Stellenbosch University, South Africa

W G Kleintjies, Western Cape Provincial Tertiary Adult Burn Unit, Division of Surgery, Tygerberg Hospital and Stellenbosch University, South Africa

E P Kotzee, Western Cape Provincial Tertiary Adult Burn Unit, Division of Surgery, Tygerberg Hospital and Stellenbosch University, South Africa

B Bulajic, Western Cape Provincial Tertiary Adult Burn Unit, Division of Surgery, Tygerberg Hospital and Stellenbosch University, South Africa

A Fredericks, Western Cape Provincial Tertiary Adult Burn Unit, Division of Surgery, Tygerberg Hospital and Stellenbosch University, South Africa

J L Burke, Western Cape Provincial Tertiary Adult Burn Unit, Division of Surgery, Tygerberg Hospital and Stellenbosch University, South Africa

J Buys, Western Cape Provincial Tertiary Adult Burn Unit, Division of Surgery, Tygerberg Hospital and Stellenbosch University, South Africa

Full Text

PDF (59KB)

Cite this article

South African Journal of Plastic & Reconstructive Aesthetic Surgery & Burns 2018;1(1):4-5. DOI:10.7196/sajprasb.1388

Article History

Date submitted: 2018-11-30
Date published: 2018-11-30

Article Views

Abstract views: 808
Full text views: 211