Intra-abdominal pressure: an integrative review

Milanesi, R; Caregnato, Rita Catalina Aquino

doi:10.1590/s1679-45082016rw3088

Cited by 45 publications

(49 citation statements)

References 16 publications

(76 reference statements)

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“…Other literatures, reported that the incidence of vomiting ranged from 12% to 50 % (Momenfar et al, 2018). Nurses should be routinely monitor GRV to ensure gastric empty (Mohamed et al, 2013) Critically ill patient recognized to have IAP up to 7 mmHg, developed IAH at 12 mmHg and considered ACS at 20mmHg with organ dysfunction (Milanesi & Caregnato, 2016). In the present trail, the IAP readings of both groups are within accepted level and not exceed to be IAH.…”

Section: Discussionmentioning

confidence: 46%

Effect of Abdominal Massage on Gastrointestinal Complications and Intra-Abdominal Pressure of Critical-Enteral-Feed Patients: A Randomized Control Trial

2019

JHMN

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Background: critically ill patient need a nursing practice that can enhance him to get all benefits of enteral feeding and overlapping the GI complications and maintain the intra-abdominal pressure.Objective: This work aimed to explore the effect of abdominal massage on gastrointestinal complications and intra-abdominal pressure of critical-enteral-feed patients. Methods: A randomized controlled trial was applied on 74 eligibly enteral-fed patients at Trauma and General ICUs. Of these, the trail was completed on sixty patients who distributed randomly to equal intervention and control groups. The manipulation was two times for 15mins of abdominal massage for five days. The effect was measured on enteral feeding complications (GRV, abdominal circumference and distention, vomiting) and intra-abdominal pressure as compared with control group who didn't receive the massage.Results: the GRV difference between the massage group and control group subjects was statistically significant (P<0.001) in the 3 rd , 4 th , and 5 th days indicating higher GRV among control group. The abdominal circumference between the five days was not significantly in the two groups. The difference between the two groups in relation to the distension was statistically significant (p < 0.05) in day 3, 4 and5. None of intervention patients were vomited along the study period (5days) in compared to 5% of control patients without statistical significant. Conclusions: The abdominal massage was significantly effective in lowering GRV, preventing distension and avoiding vomiting. Besides, the abdominal massage maintained the IAP without any statistical significant support. Therefore, it is recommended that this practice can be applied as a caring procedure in the daily ICU care program.

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Section: Discussionmentioning

confidence: 46%

Effect of Abdominal Massage on Gastrointestinal Complications and Intra-Abdominal Pressure of Critical-Enteral-Feed Patients: A Randomized Control Trial

2019

JHMN

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“…Mechanisms proposed to explain this change include reduced blood flow to the lumbar venous plexus (leading to increased pressure in the cerebrospinal fluid [CSF]), increased pressure of carbon dioxide (PaCO2), and reduced cerebral venous return by the jugular system. [12][13][14] This hypothesis meets and underlies the Monro-Kellie doctrine, in which states that the intracranial volume is equal to the volume of cerebral blood (3-10%) plus the volume of CSF (8-12%) plus the volume of brain tissue, which consists of more than 80% water. While the total intracranial volume remains identical, the ICP remains constant.…”

Section: Discussionmentioning

confidence: 74%

Intracranial Hypertension and Intra-abdominal Pressure. Is it Worth Measuring?

Bonatto

Matias

Welling

2020

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Patients with refractory intracranial hypertension who have already undergone all the measures recommended by the current guidelines can benefit from having their intra-abdominal pressure monitored since its increase generates hemodynamic repercussions and secondary elevation of intracranial pressure. In this context, a bibliographic research was performed on PubMed with the terms intra-abdominal pressure, abdominal compartment syndrome, intracranial pressure, intracranial hypertension. Altogether, 146 articles were observed, 87 of which were from the year 2000, and only 15 articles were considered relevant to the topic. These studies indicate that patients with refractory intracranial hypertension can benefit from the measurement of intraabdominal pressure, since there is evidence that an increase in this pressure leads to organic dysfunctions with an indirect impact on cerebral venous return and, consequently, an increase in intracranial pressure. In those who underwent decompression laparotomy, direct effects were observed in reducing intracranial hypertension and survival.

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“…The intravesicular IAP measurement is convenient and is considered the gold standard [ 46 , 58 ]. IAP is the pressure concealed within the abdominal cavity as defined superiorly by the diaphragm, anteriorly and posteriorly by the abdominal wall, and inferiorly by the pelvic floor.…”

Section: Iap Measurement Techniquementioning

confidence: 99%

The significance of intra-abdominal pressure in neurosurgery and neurological diseases: a narrative review and a conceptual proposal

et al. 2019

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Intra-abdominal pressure (IAP) is a physiological parameter that has gained considerable attention during the last few decades. The incidence of complications arising from increased IAP, known as intra-abdominal hypertension (IAH) or abdominal compartment syndrome in critically ill patients, is high and its impact is significant. The effects of IAP in neurological conditions and during surgical procedures are largely unexplored. IAP also appears to be relevant during neurosurgical procedures (spine and brain) in the prone position, and in selected cases, IAH may affect cerebrospinal fluid drainage after a ventriculoperitoneal shunt operation. Furthermore, raised IAP is one of the contributors to intracranial hypertension in patients with morbid obesity. In traumatic brain injury, case reports described how abdominal decompression lowers intracerebral pressure. The anatomical substrate for transmission of the IAP to the brain and venous system of the spine is the extradural neural axis compartment; the first reports of this phenomenon can be found in anatomical studies of the sixteenth century. In this review, we summarize the available knowledge on how IAP impacts the cerebrospinal venous system and the jugular venous system via two pathways, and we discuss the implications for neurosurgical procedures as well as the relevance of IAH in neurological disorders.

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Intra-abdominal pressure: an integrative review

Cited by 45 publications

References 16 publications

Effect of Abdominal Massage on Gastrointestinal Complications and Intra-Abdominal Pressure of Critical-Enteral-Feed Patients: A Randomized Control Trial

Effect of Abdominal Massage on Gastrointestinal Complications and Intra-Abdominal Pressure of Critical-Enteral-Feed Patients: A Randomized Control Trial

Intracranial Hypertension and Intra-abdominal Pressure. Is it Worth Measuring?

The significance of intra-abdominal pressure in neurosurgery and neurological diseases: a narrative review and a conceptual proposal

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