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

Hdl Handle:
http://hdl.handle.net/10147/621004
Title:
A user's guide to intra-abdominal pressure measurement.
Authors:
Sugrue, Michael; De Waele, Jan J; De Keulenaer, Bart L; Roberts, Derek J; Malbrain, Manu L N G
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
Issue Date:
2015
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
MeSH:
Abdominal Cavity; Critical Illness; Humans; Intensive Care Units; Intra-Abdominal Hypertension; Patient Positioning; Point-of-Care Systems; Reproducibility of Results
ISSN:
1731-2515

Full metadata record

DC FieldValue Language
dc.contributor.authorSugrue, Michaelen
dc.contributor.authorDe Waele, Jan Jen
dc.contributor.authorDe Keulenaer, Bart Len
dc.contributor.authorRoberts, Derek Jen
dc.contributor.authorMalbrain, Manu L N Gen
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.en
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

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