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WCACS 2004 – Noosa

2nd WCACS congress in Noosa, Australia
The Second World Congress on Abdominal Compartment Syndrome was organized by Dr. Michael Sugrue, one of the pioneers in ACS research in the beautiful sub-tropical Noosa resort. With some 150 participants, 40 invited lectures, 25 oral presentations, 20 minipaper presentations and 29 poster presentations, the meeting was a huge success. In total, 84 abstracts were accepted, submitted from all parts of the world.

Sheraton Noosa Resort, Queensland, Australia, 6-8 december, 2004

During this historical meeting the foundations of the WSACS were made and the first Executive committee was elected. At the social gatherings in the evenings enough time was be provided to get to know each other and to exchange ideas in a relaxed atmosphere. Whilst sipping Australian wine, the idea to write a textbook on abdominal compartment syndrome was born.

During the WCACS congress in Noosa, prizes were awarded for the best oral, minipaper, video, and poster presentations. Jan De Waele from Belgium won the prize for the best oral presentation for his study entitled Correlation between Abdominal Perfusion Pressure, Filtration Gradient and Urinary Output in Patients at Risk for Intra-abdominal Hypertension. Martin Bjorck from Sweden won the prize for the best mini-paper entitled Colonic Ischaemia and IAH following operation for ruptured abdominal aortic aneurysm (RAAA): A prospective study? Karen Andrews from Australia won the first of the 3 prizes for the best poster presentation with her study entitled A Scientific Evaluation of the Level of Evidence of Publications Relating to ACS? Thomas Wild from Austria with his study Multicenter Observer Study in Abdominal Compartment Syndrome? and Mark Kaplan from USA with the study Effectiveness of a Vacuum Assisted Wound Management System in the Prevention and Treatment of the ACS and IAH in High Risk Trauma Patients with Open Abdomens won the other 2 best poster prizes. Congratulations to all of them!

World status of ACS

  • Europe, Manu Malbrain
  • North America, Andrew Kirkpatrick
  • South America, Paulo de Souza
  • Australasia, Ken Hillman

Consensus Definitions

  • IAP and IAH, Manu Malbrain
  • ACS, Zsolt Balogh
  • Chronic ACS, Claudia Olvera
  • IAP measurement, Felicity Jones

Respiratory function and ACS

  • Respiratory System – State of the Art, Julia Wendon

Cardiac function and ACS

  • Cardiac Sequelae – Current Status, Michael Cheatham

Visceral function and ACS

  • Effect of ACS on the viscera, Rao Ivatury

Renal function and ACS

  • Renal Dysfunction – State of the Art, Andrew Kirkpatrick

Management of ACS

  • ACS in the Paediatric Patient, David Tuggle
  • Non-operative Management, Zsolt Balogh
  • Indications for Surgery, Scott D’Amours
  • Anesthetic Challenges, Michael Parr

Debate: “Patients with an IAP > 25 mmHg need Abdominal Decompression”

  • Pro, Michael Parr, Ari Leppaniemi
  • Con, Michael Sugrue
  • Con, Rao Ivatury

ACS and critical care

  • Haemodynamic Monitoring and Support, Michael Cheatham
  • Optimising Ventilation, Claudia Olvera
  • Splanchnic Perfusion and Liver Function, Julia Wendon
  • Recurrent ACS, Zsolt Balogh
  • Neurological Function, Scott D’Amours

Secondary ACS

  • Overview, Andy Kirkpatrick

Haemodynamic monitoring soap box

  • I like to use a Swan, Rao Ivatury
  • I like to use a PICCO, Manu Malbrain
  • I like to use my brain, Michael Parr

Debate: “Fluid Resuscitation is More a Cause than a Help of ACS”

  • For, Zsolt Balogh
  • For, Manu Malbrain
  • Against, Julia Wendon
  • Against, Michael Parr

How I do it??

  • Abdominal Decompression, Michael Sugrue
  • Abdominal Wall Reconstruction, Ari Leppaniemi
  • Abdominal Perfusion Monitoring, Michael Cheatham

Five key points from the 2004 WSACS

  • Surgery, Scott D’Amours
  • Definitions, Andy Kirkpatrick
  • Monitoring, Michael Cheatham
  • Intensive Care, Manu Malbrain

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The Abdominal Compartment Society (WSACS) welcomes all who have an interest in Intra-Abdominal Hypertension and Abdominal Compartment Syndrome.