Incidence and clinical effects of intra-abdominal hypertension in critically ill patients

Vidal, María Gabriela; J, Weisser; González, Francisco M.; Toro, Maria America; Loudet, Cecilia; Balasini, Carina; Canales, Héctor Saúl; Reina, Rosa; Bakker, Jan

doi:10.1097/ccm.0b013e31817c7a4d

Cited by 262 publications

(218 citation statements)

References 41 publications

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“…If a patient has at least 2 of the risk factors, a baseline IAP measurement should be obtained. In the study by Vidal et al, 6 almost one-third of patients had IAH at the time of admission to the ICU, and the abnormality developed in another one-third after admission. Perhaps, initially the U-tube method Position the patient supine with the head of the bed flat.…”

Section: Scr Eening and Monitor Ingmentioning

confidence: 99%

“…These 3 studies [5][6][7] indicate that IAH occurs frequently and may worsen patients' outcome. Health care practitioners tend to be aware of the development of IAH in surgical patients and in patients with obviously distended abdomens.…”

Section: Incidence and Prevalencementioning

confidence: 99%

“…Vidal et al 6 2 Muckart et al, 3 and Malbrain et al 4 Table 2 Primary and secondary conditions that cause intra-abdominal hypertension and abdominal compartment syndrome a the unit, and the condition developed in another 33% after admission. Compared with patients without IAH, patients with IAH were sicker and had a higher mortality rate (53% vs 27%; P = .02).…”

Section: Incidence and Prevalencementioning

confidence: 99%

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Intra-abdominal Hypertension and Abdominal Compartment Syndrome

Lee

2012

Critical Care Nurse

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Intra-abdominal hypertension has a prevalence of at least 50% in the critically ill population and has been identified as an independent risk factor for death. Yet, many of the members of the critical care team do not assess for intra-abdominal hypertension and are unaware of the consequences of untreated intra-abdominal hypertension. These consequences can be abdominal compartment syndrome, multisystem organ failure, and death. This article provides an overview of the pathophysiology of intra-abdominal hypertension and abdominal compartment syndrome. In addition, the evidence-based definitions, guidelines, and recommendations of the World Society of the Abdominal Compartment Syndrome are presented.

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Section: Scr Eening and Monitor Ingmentioning

confidence: 99%

Section: Incidence and Prevalencementioning

confidence: 99%

Section: Incidence and Prevalencementioning

confidence: 99%

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Intra-abdominal Hypertension and Abdominal Compartment Syndrome

Lee

2012

Critical Care Nurse

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“…7,[9][10][11][12] The reported incidence of ACS varies from less than 1% to 60%, depending on the definitions used and the different populations of patients studied. 7,8,[12][13][14] Many health care providers think ACS may be underrecognized and thus underreported.…”

Section: Abdominal Compartment Syndrome In Childrenmentioning

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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“…The pioneering studies of Amato et al [4] and Pálizas et al [5] opened up new approaches to ARDS management and perfusion monitoring. Highly relevant epidemiological studies have provided fundamental data for the international community on ARDS [6], sepsis [7], intra-abdominal hypertension [8], as well as ICU organizational factors and patient outcomes [9]. Elegant clinical physiological studies which have contributed to universal knowledge, especially in the area of septic shock or tissue perfusion monitoring, have also been performed in the region [10][11][12][13][14].…”

mentioning

confidence: 99%