Usefulness of intra-abdominal pressure in a predominantly medical intensive care unit

Murcia-Sáez, Isabel M.; Sobrino-Hernandez, María L.; García-López, Fernando; Córcoles-González, Virgilio; Cortés-Monedero, José L.; Tendero-Egea, Antonio; Martínez-García, Antonio; Salinas-Sánchez, Antonio S.

doi:10.1016/j.jcrc.2009.05.017

Cited by 14 publications

(12 citation statements)

References 26 publications

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“…5,6 The diagnoses of GID were always based on the presence of feeding intolerance and not on the presence of IAH, and hence, all patients with IAH also had feeding intolerance. The association between IAH and poor tolerance to enteral feeds is already reported in the literature, 15 and although the possibility to feed patients with IAH exists, the level of nutrition in those patients does not achieve the full nutritional request. 16 In larger series, few patients with IAH did not develop GI symptoms and had a better outcome.…”

Section: Discussionmentioning

confidence: 88%

The IN-PANCIA Study: Clinical Evaluation of Gastrointestinal Dysfunction and Failure, Multiple Organ Failure, and Levels of Citrulline in Critically Ill Patients

Fagoni

Piva

Marino

et al. 2017

J Intensive Care Med

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Section: Discussionmentioning

confidence: 88%

The IN-PANCIA Study: Clinical Evaluation of Gastrointestinal Dysfunction and Failure, Multiple Organ Failure, and Levels of Citrulline in Critically Ill Patients

Fagoni

Piva

Marino

et al. 2017

J Intensive Care Med

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“…As suggested by multiple authors [4,6,8,10,18], an IAP >20 mmHg can cause significant physiological disturbance in critically ill patients. However, there are also patients with this same elevation in IAP that show no such derangement.…”

Section: Resultsmentioning

confidence: 99%

“…Despite the increase in awareness and guideline recommendations, there remains some resistance to adopting regular screening and monitoring practices [4,5]. Spencer et al [6], in an Australian survey of 582 critical care nurses that the majority (356 or 62.1%) described their knowledge of ACS to be non-existent or limited.…”

Section: Introductionmentioning

confidence: 99%

Management of intra-abdominal hypertension and abdominal compartment syndrome: a review

Hunt

Frost

Hillman

et al. 2014

J Trauma Manage Outcomes

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Patients in the intensive care unit (ICU) are at risk of developing of intra abdominal hypertension (IAH) and abdominal compartment syndrome (ACS).Aim: This review seeks to define IAH and ACS, identify the aetiology and presentation of IAH and ACS, identify IAP measurement techniques, identify current management and discuss the implications of IAH and ACS for nursing practice. A search of the electronic databases was supervised by a health librarian. The electronic data bases Cumulative Index of Nursing and Allied Health Literature (CINAHL); Medline, EMBASE, and the World Wide Web was undertaken from 1996- January 2011 using MeSH and key words which included but not limited to: abdominal compartment syndrome, intra -abdominal hypertension, intra-abdominal pressure in adult populations met the search criteria and were reviewed by three authors using a critical appraisal tool. Data derived from the retrieved material are discussed under the following themes: (1) etiology of intra-abdominal hypertension; (2) strategies for measuring intra-abdominal pressure (3) the manifestation of abdominal compartment syndrome; and (4) the importance of nursing assessment, observation and interventions. Intra-abdominal pressure (IAP) and abdominal compartment syndrome (ACS) have the potential to alter organ perfusion and compromise organ function.

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“…However, there remains considerable debate over the applicability of absolute intra-abdominal pressure (IAP) ranges, in the management of patients with critical illnesses. Several studies support that an IAP>20 mmHg induces serious physiological consequences in critically ill patients [3,26,27]. Despite these data, it is well known that this absolute IAP level, does not always associated with physiological derangements [28,29].…”

Section: Indications For Iap Monitoringmentioning

confidence: 99%

Current Evidence on Diagnosis and Management of Abdominal Compartment Syndrome

Tsails¹,

Vasiliadis²

2014

Emergency Medicine

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The sustained intra-abdominal hypertension, leading to critical tissue hypoperfusion and permanent functional organ impairment, constitutes the life-threatening disorder of abdominal compartment syndrome (ACS). In recent years, the increased awareness of the presence, clinical importance and devastating impact of ACS has led to dramatic improvements in the diagnosis, definition and management of this lethal disorder. Because of the high incidence of ACS in high-risk patients, regular assessment of intra-abdominal pressure should be performed and timely, evidence-based therapeutic interventions should be employed not only to minimize the risk of developing intra-abdominal hypertension but also to aggressively treat the fully developed ACS. Such an approach will improve patient safety, optimize survival, and decrease morbidity. Among evidence-based measures for the management of ACS surgical decompression remains the method of choice succeeding fast and definitive treatment of the fully developed ACS.

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Usefulness of intra-abdominal pressure in a predominantly medical intensive care unit

Cited by 14 publications

References 26 publications

The IN-PANCIA Study: Clinical Evaluation of Gastrointestinal Dysfunction and Failure, Multiple Organ Failure, and Levels of Citrulline in Critically Ill Patients

The IN-PANCIA Study: Clinical Evaluation of Gastrointestinal Dysfunction and Failure, Multiple Organ Failure, and Levels of Citrulline in Critically Ill Patients

Management of intra-abdominal hypertension and abdominal compartment syndrome: a review

Current Evidence on Diagnosis and Management of Abdominal Compartment Syndrome

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