Loading...
A user's guide to intra-abdominal pressure measurement.
Sugrue, Michael De Waele, Jan J De Keulenaer, Bart L Roberts, Derek J Malbrain, Manu L N G
Sugrue, Michael
De Waele, Jan J
De Keulenaer, Bart L
Roberts, Derek J
Malbrain, Manu L N G
Advisors
Editors
Other Contributors
Departments
Date
2015
Date Submitted
Keywords
Other Subjects
Subject Mesh
Abdominal Cavity
Critical Illness
Humans
Intensive Care Units
Intra-Abdominal Hypertension
Patient Positioning
Point-of-Care Systems
Reproducibility of Results
Critical Illness
Humans
Intensive Care Units
Intra-Abdominal Hypertension
Patient Positioning
Point-of-Care Systems
Reproducibility of Results
Planned Date
Start Date
Collaborators
Principal Investigators
Files
Loading...
Main Article
Adobe PDF, 1.85 MB
Alternative Titles
Publisher
Abstract
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.
Language
en
ISSN
1731-2515
eISSN
ISBN
DOI
10.5603/AIT.a2015.0025
PMID
25973661