Intra-abdominal Hypertension and Abdominal Compartment Syndrome

Lee, Rosemary Koehl

doi:10.4037/ccn2012662

Cited by 45 publications

(64 citation statements)

References 26 publications

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“…These consequences can be an abdominal compartment syndrome, multi-system organ failure, and it may lead to mortality rate of 40%-100%. [1,6] …”

Section: Introductionmentioning

confidence: 99%

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The effect of reference position versus right lateral position on the intra-abdominal pressure in mechanically ventilated patients

Mahran¹,

Abd‐Elshafy²,

Neem³

et al. 2018

JNEP

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Background and objective: Intra-abdominal hypertension (IAH) is a frequent plentiful problem in patients admitted to critical care units. It ranges from a surge incidence of morbidity and mortality to a particular need for nursing health care, so recognition of the occurrence of IAH is a very critical issue for critical care nurses and physician. This study aimed to recognize the effects of various body position with the various head of bed elevation on the intra-abdominal pressure (IAP) in patients with mechanical ventilation. Methods: Design: A non-randomized, prospective observational study was used. Setting: Trauma and general intensive care units at Assuit University Hospitals. Method: In a prospective observational study, during the third day of mechanical ventilation, 60 patients were screened for IAP via a urinary catheter, in two various body positions in three separate degrees of the head of the bed (HOB) elevation (0 • , 15• , and 30 • ). The position was changed at least 4 hours apart over a 24-h period.Results: In lateral recumbence, IAP measurements were significantly elevated compared to supine position, they were 19.70 ± 3.09 mmHg versus 16.00 ± 3.14 (p < .001), 22.80 ± 3.56 mmHg versus 19.03 ± 2.95 (p < .001), and 26.08 ± 3.59 mmHg versus 21.46 ± 2.90 versus (p < .001) at 0 • , 15• , and 30• respectively. The mean of IAP difference was 3.7 ± 3.0 mmHg at 0 • , 3.8 ± 1.00 mmHg at 15• , and 5.5 ± 1.01 mmHg at 30 • (p < .005).Conclusions: IAP reading is significantly elevated by changing from supine to lateral position especially with HOB elevation and significantly correlated with mortality rate in patients with mechanical ventilation

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“…These consequences can be an abdominal compartment syndrome, multi-system organ failure, and it may lead to mortality rate of 40%-100%. [1,6] …”

Section: Introductionmentioning

confidence: 99%

“…The pressure in the abdominal cavity is called intraabdominal pressure (IAP) and it is normally ranged from 0-5 mmHg in healthy person [1] and 5-7 mmHg in the general patient population. [2] Body weight, posture, abdominal muscles tension, and diaphragm movements all these factors are considerably affect IAP [3,4] .…”

Section: Introductionmentioning

confidence: 99%

The effect of reference position versus right lateral position on the intra-abdominal pressure in mechanically ventilated patients

Mahran¹,

Abd‐Elshafy²,

Neem³

et al. 2018

JNEP

View full text Add to dashboard Cite

show abstract

“…In a multicenter epidemiological study performed in 6 countries analyzing the IAH prevalence in the intensive care unit, Malbrain et al (2004) reported that 57 critically ill patients (58.8%) were diagnosed with IAH and 8 (8.2%) with ACS. In a previous study, an IAP increase of up to 20 mmHg decreased the mesenteric perfusion by 40%, and an increase to 40 mmHg decreased the mesenteric perfusion by 70%; intestinal permeability portal vein endotoxin concentration both remarkably increased in response (Lee, 2012). A persistent IAP ≥ 15 mmHg is a reported independent risk factor for renal impairment.…”

Section: Discussionmentioning

confidence: 99%

“…The steady-state abdominal cavity pressure, known as intra-abdominal pressure (IAP), ranges 0-5 mmHg and inversely varies with the intrathoracic pressure during normal respiration (Lee, 2012). Temporary IAP changes can be induced by numerous factors, including coughing, sneezing, and even loud singing.…”

Section: Introductionmentioning

confidence: 99%

Electroacupuncture decreases the urinary bladder pressure in patients with acute gastrointestinal injury

Jiangang

Shen

et al. 2015

Genet. Mol. Res.

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“…[9] The percentage of IAH in acutely ill patients is documented to be 50%, [10] of these, 50%, 32.1% develop IAH within their first 24h of ICU admission. [11,12] The concept of IAP and its impact on disorders in organ function in patients has significant interest grew. IAH not only affects the abdominal organs-but it affects various organ of the body like the respiratory system, blood dynamics and cerebral perfusion.…”

Section: Introductionmentioning

confidence: 99%

Deterioration of mechanically ventilated patients in the presence of intra-abdominal hypertension

Mahran¹,

El-Hafez²,

Abbas³

2018

JNEP

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Background and objective: Elevated pressure within the cavity of the abdomen is a serious complication that can threat the life of critically ill patients. Thus, there is an intense need to highlight the outcomes of intra-abdominal hypertension (IAH) that can face critical care nurses. Objective: This work aimed to explore the deterioration of mechanical ventilated patients in the presence of IAH. Methods: Design: A non-randomized prospective study. Procedures: This trial was implemented in trauma and general intensive care in the period between December 2015 and August 2016. The pressure within the abdomen was measured for each patient, three times with 8-hr interval, at the third day of mechanical ventilator (MV). Sepsis-related organ failure assessment score was measured for all patients at first day of admission. All patients who had normal intra-abdominal pressure (IAP) or developed IAH were observed, monitored and evaluated for the clinical outcomes until discharged. Results: Of the 60 MV patients, 83.3% developed IAH. Higher mean of MV and stay period among patients with increased pressure within the abdomen (14.04 ± 10.30 and 16.30 ± 9.36) than normotensive patients (6.90 ± 2.80 and 11.000 ± 3.77) with significant difference (p = .001). Non-survivor had a significantly higher mean IAP than survivor (23.266 ± 2.37 vs. 7.91 ± 3.17) (p value < .001). Conclusions: The occurrence of IAH complicated 83.3% of mechanical ventilated clients in the study period: like longer stay and use of ventilator, and high mortality rate.

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Intra-abdominal Hypertension and Abdominal Compartment Syndrome

Cited by 45 publications

References 26 publications

The effect of reference position versus right lateral position on the intra-abdominal pressure in mechanically ventilated patients

The effect of reference position versus right lateral position on the intra-abdominal pressure in mechanically ventilated patients

Electroacupuncture decreases the urinary bladder pressure in patients with acute gastrointestinal injury

Deterioration of mechanically ventilated patients in the presence of intra-abdominal hypertension

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