What is the primary treatment for cast syndrome?

The primary treatment for cast syndrome, also known as abdominal compartment syndrome associated with a cast, is to provide gastrointestinal decompression, which is achieved by keeping the patient NPO (nothing by mouth) and placing a nasogastric (NG) tube. This approach allows for the removal of gastric contents and helps to relieve distention and pressure in the abdominal cavity, which can be exacerbated by a cast.

In cases where the cast is too tight or constricting, this method is crucial for preventing complications associated with reduced blood flow and pressure on internal organs. By decompressing the stomach and allowing any trapped air or fluids to exit, the risk of further complications, such as bowel ischemia, is significantly lowered.

Surgical intervention may be considered if conservative measures fail, but initially, non-invasive methods like NG tube placement are prioritized. This prioritization reflects a standard approach in managing cast syndrome effectively.