Aggressive Surveillance and Early Catheter-Directed Therapy in the Management of Intra-Abdominal Hypertension

Abstract

Intra-abdominal catheter placement is a reasonable first step in the early management of ACS. It may prevent a portion of patients from progressing to hemodynamically significant ACS and prevent the complications of managing an open abdominal wound. Also, the late intra-abdominal hypertension may be a prognostic indicator of an impending rapid clinical deterioration. Further prospective investigation is warranted to determine whether this method reduces overall morbidity and mortality in critically ill patients.

The role of abdominal compliance, the neglected parameter in critically ill patients — a consensus review of 16. Part 2: measurement techniques and management recommendations

“…Reed et al retrospectively analysed 12 patients in whom it was attempted to treat IAH via puncture and drainage of intra-abdominal free fluid [44]. On assessment, the IAP ranged between 17 and 37 mm Hg.…”

Normotensive ischemic acute kidney injury as a manifestation of intra-abdominal hypertension

“…Measurements of rectal pressure and inferior vena cava pressures, as surrogates for intra-abdominal pressures, have also been reported. Measurement of urinary bladder pressure remains the most used, reliable, cost-effective, and studied method to monitor for IAH and ACS [3,10,11].…”

Management of Abdominal Compartment Syndrome in a Very Low Birth Weight Neonate Using Penrose Drains and Subsequent Management of Abdominal-Wall Defects

“…[2][3][4][5][6][7][8][9][10] This is the first reported case in which a Penrose drain has been used for percutaneous decompression to treat ACS. Percutaneous decompression of the abdomen is now widely accepted as a temporary, or sometimes definitive, treatment for bowel perforation in VLBW neonates.…”