Comparison of direct and intravesical measurement of intraabdominal pressure in children

Suominen, Pertti; Pakarinen, Mikko P.; Rautiainen, Paula; Mattila, Ilkka; Sairanen, Heikki

doi:10.1016/j.jpedsurg.2006.04.030

Cited by 55 publications

(37 citation statements)

References 16 publications

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“…With passive PD, these risks and disadvantages are considerably less or absent. Previous authors have alluded to the use of this technique [8,9,[14][15][16][17] but, to our knowledge, this is the first report to study the impact of passive PD on postoperative management following surgery for congenital heart disease. In our cohort, passive PD acted as a simple, less invasive (as compared to active peritoneal dialysis) adjunct to conventional means of facilitating negative fluid balance.…”

Section: Discussionmentioning

confidence: 99%

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Passive peritoneal drainage improves fluid balance after surgery for congenital heart disease

Saini

Delius

Seshadri

et al. 2011

European Journal of Cardio-Thoracic Surgery

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Section: Discussionmentioning

confidence: 99%

“…Other authors have alluded to the use of PD catheters to drain fluid passively as a less aggressive means of promoting negative fluid balance [8,9,[14][15][16][17]. We use the latter technique at our institution, though there is a paucity of published literature regarding its effectiveness and limitations.…”

Section: Introductionmentioning

confidence: 99%

Passive peritoneal drainage improves fluid balance after surgery for congenital heart disease

Saini

Delius

Seshadri

et al. 2011

European Journal of Cardio-Thoracic Surgery

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“…Continuous bladder pressure monitoring, as described in adults, is difficult to apply in children due to the lack of small three-way urethral catheters [39]. To obtain accurate readings, the minimal volume of normal saline recommended for instillation into the bladder should be between 3 to 5 mL in all children up to 50 kg in weight [40]. In children with a weight above 5 kg, as a rule of thumb, an instillation volume of 1 mL kg -1 (up to a maximum of 25 mL) could also be used.…”

Section: Intra-abdominal Hypertension In Children Iap Measurement Andmentioning

confidence: 99%

Intra-abdominal hypertension and abdominal compartment syndrome in pancreatitis, paediatrics, and trauma

Waele

Ejike

Leppäniemi³

et al. 2015

Anaesthesiol Intensive Ther

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Intra-abdominal hypertension (IAH) is an important contributor to early organ dysfunction among patients with trauma and sepsis. However, the impact of increased intra-abdominal pressure (IAP) among pediatric, pregnant, non-septic medical patients, and those with severe acute pancreatitis (SAP), obesity, and burns has been studied less extensively. The aim of this review is to outline the pathophysiologic implications and treatment options for IAH and abdominal compartment syndrome (ACS) for the above patient populations. We searched MEDLINE and PubMed to identify relevant studies. There is an increasing awareness of IAH in general medicine. The incidence of IAH and, to a lesser extent, ACS is high among patients with SAP. IAH should always be suspected and IAP measured routinely. In children, normal IAP in mechanically ventilated patients is approximately 7 ± 3 mm Hg. As an IAP of 10−15 mm Hg has been associated with organ damage in children, an IAP greater than 10 mm Hg should be considered IAH in these patients. Moreover, as ACS may occur in children at an IAP lower than 20 mm Hg, any elevation in IAP higher than 10 mm Hg associated with new organ dysfunction should be considered ACS in children until proven otherwise. Monitor IAP trends and be aware that specific interventions may need to be instituted at lower IAP than the current ACS definitions accommodate. Finally, IAH and ACS can occur both in abdominal trauma and extra-abdominal trauma patients. Early mechanical hemorrhage control and the avoidance of excessive fluid resuscitation are key elements in preventing IAH in trauma patients. IAH and ACS have been associated with many conditions beyond the general ICU patient. In adults and in children, the focus should be on the early recognition of IAH and the prevention of ACS.Patients at risk for IAH should be identified early during their treatment (with a low threshold to initiate IAP monitoring). Appropriate actions should be taken when IAP increases above 20 mm Hg, especially in patients developing difficulty with ventilation. Although on-operative measures should be instituted first, one should not hesitate to resort to surgical decompression if they fail.

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“…8,28,29 The gold standard for IAP measurement is the direct method, but this method is invasive and can be associated with complications such as bowel perforation and peritonitis. 30 The most accepted standard for indirectly measuring IAP is the bladder method. 5,28 The pressure transducer is leveled at the cross-section between the iliac crest and the midaxillary line.…”

Section: Iap Measurementsmentioning

confidence: 99%

Abdominal Compartment Syndrome in Children

Newcombe

Mathur

Ejike

2012

Critical Care Nurse

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Abdominal compartment syndrome is defined as sustained intra-abdominal pressure greater than 20 mm Hg (with or without abdominal perfusion pressure <60 mm Hg) associated with new organ failure or dysfunction. The syndrome is associated with 90% to 100% mortality if not recognized and treated in a timely manner. Nurses are responsible for accurately measuring intra-abdominal pressure in children with abdominal compartment syndrome and for alerting physicians about important changes. This article provides relevant definitions, outlines risk factors for abdominal compartment syndrome developing in children, and discusses an instructive case involving an adolescent with abdominal compartment syndrome. Techniques for measuring intra-abdominal pressure, normal ranges, and the importance of monitoring in the critical care setting for timely identification of intra-abdominal hypertension and abdominal compartment syndrome also are discussed.

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Comparison of direct and intravesical measurement of intraabdominal pressure in children

Cited by 55 publications

References 16 publications

Passive peritoneal drainage improves fluid balance after surgery for congenital heart disease

Passive peritoneal drainage improves fluid balance after surgery for congenital heart disease

Intra-abdominal hypertension and abdominal compartment syndrome in pancreatitis, paediatrics, and trauma

Abdominal Compartment Syndrome in Children

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