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dc.contributor.authorSugrue, Michael
dc.contributor.authorDe Waele, Jan J
dc.contributor.authorDe Keulenaer, Bart L
dc.contributor.authorRoberts, Derek J
dc.contributor.authorMalbrain, Manu L N G
dc.date.accessioned2017-01-09T12:16:35Z
dc.date.available2017-01-09T12:16:35Z
dc.date.issued2015
dc.identifier.citationA user's guide to intra-abdominal pressure measurement. 2015, 47 (3):241-51 Anaesthesiol Intensive Theren
dc.identifier.issn1731-2515
dc.identifier.pmid25973661
dc.identifier.doi10.5603/AIT.a2015.0025
dc.identifier.urihttp://hdl.handle.net/10147/621004
dc.description.abstractThe 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.
dc.languageENG
dc.language.isoenen
dc.publisherAnaesthesiology intensive therapyen
dc.rightsArchived with thanks to Anaesthesiology intensive therapyen
dc.subject.meshAbdominal Cavity
dc.subject.meshCritical Illness
dc.subject.meshHumans
dc.subject.meshIntensive Care Units
dc.subject.meshIntra-Abdominal Hypertension
dc.subject.meshPatient Positioning
dc.subject.meshPoint-of-Care Systems
dc.subject.meshReproducibility of Results
dc.titleA user's guide to intra-abdominal pressure measurement.en
dc.typeArticleen
dc.identifier.journalAnaesthesiology intensive therapyen
dc.description.fundingNo fundingen
dc.description.provinceUlsteren
dc.description.peer-reviewpeer-reviewen
refterms.dateFOA2018-08-27T18:37:20Z
html.description.abstractThe 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.


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