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    A user's guide to intra-abdominal pressure measurement.

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    Authors
    Sugrue, Michael
    De Waele, Jan J
    De Keulenaer, Bart L
    Roberts, Derek J
    Malbrain, Manu L N G
    Issue Date
    2015
    MeSH
    Abdominal Cavity
    Critical Illness
    Humans
    Intensive Care Units
    Intra-Abdominal Hypertension
    Patient Positioning
    Point-of-Care Systems
    Reproducibility of Results
    
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    Citation
    A user's guide to intra-abdominal pressure measurement. 2015, 47 (3):241-51 Anaesthesiol Intensive Ther
    Publisher
    Anaesthesiology intensive therapy
    Journal
    Anaesthesiology intensive therapy
    URI
    http://hdl.handle.net/10147/621004
    DOI
    10.5603/AIT.a2015.0025
    PubMed ID
    25973661
    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.
    Item Type
    Article
    Language
    en
    ISSN
    1731-2515
    ae974a485f413a2113503eed53cd6c53
    10.5603/AIT.a2015.0025
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    Letterkenny University Hospital

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