A user’s guide to intra-abdominal pressure measurement
De Waele, Jan J.
De Keulenaer, Bart L.
Roberts, Derek J.
Malbrain, Manu L.N.G.
MetadataShow full item record
This item's downloads: 0 (view details)
Cited 19 times in Scopus (view citations)
Sugrue, Michael; De Waele, Jan J. De Keulenaer, Bart L.; Roberts, Derek J.; Malbrain, Manu L.N.G. (2015). A user’s guide to intra-abdominal pressure measurement. Anestezjologia Intensywna Terapia 47 (3), 241-251
The intra-abdominal pressure (IAP) measurement is a key to diagnosing and managing critically ill medical and surgical patients. There are an increasing number of techniques that allow us to measure the IAP at the bedside. This paper reviews these techniques. IAP should be measured at end-expiration, with the patient in the supine position and ensuring that there is no abdominal muscle activity. The intravesicular IAP measurement is convenient and considered the gold standard. The level where the mid-axillary line crosses the iliac crest is the recommended zero reference for the transvesicular IAP measurement; moreover, marking this level on the patient increases reproducibility. Protocols for IAP measurement should be developed for each ICU based on the locally available tools and equipment. IAP measurement techniques are safe, reproducible and accurate and do not increase the risk of urinary tract infection. Continuous IAP measurement may offer benefits in specific situations in the future. In conclusion, the IAP measurement is a reliable and essential adjunct to the management of patients at risk of intra-abdominal hypertension.
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Ireland
Showing items related by title, author, creator and subject.
Non-invasive time sampled venous pressure detection for research and clinical applications Kane, Michael (2014-09)The venous system of the lower limbs has unique anatomy that provides a skeletal muscle pump for the transport of blood against the hydrostatic gradient of erect postures. This muscle pump enables the regulation of venous ...
Noninvasive mechanical ventilation in early acute respiratory distress syndrome Grassi, Alice; Foti, Giuseppe; Laffey, John G.; Bellani, Giacomo (Towarzystwo Internistow Polskich/Polish Society of Internal Medicine, 2017-08-17)Noninvasive ventilation (NIV) has a well-established role in the treatment of acute-on-chronic respiratory failure and cardiogenic pulmonary edema. Its role in acute hypoxemic respiratory failure has been increasingly ...
Decreased pulse pressure during hemodialysis is associated with improved 6-month outcomes Inrig, Jula K.; Patel, Uptal D.; Toto, Robert D.; Reddan, Donal N.; Himmelfarb, Jonathan; Lindsay, Robert M.; Stivelman, John; Winchester, James F.; Szczech, Lynda A. (Elsevier BV, 2009-11-01)Pulse pressure is a well established marker of vascular stiffness and is associated with increased mortality in hemodialysis patients. Here we sought to determine if a decrease in pulse pressure during hemodialysis was ...