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Open Access 04-08-2022 | Acute Kidney Injury | Special Issue Insight

Continuous intra-abdominal pressure: is it ready for prime time?

Authors: Manu L. N. G. Malbrain, Bart L. De Keulenaer, Ashish K. Khanna

Published in: Intensive Care Medicine | Issue 10/2022

Excerpt

Abdominal contents are primarily fluid in character so that pressure within this compartment follows Pascal’s hydrostatic law. Intra-abdominal pressure (IAP) is the steady state pressure within the abdominal cavity and changes during respiration with an inspiratory increase [1]. Mean perfusion pressure (MPP) is the difference between mean arterial pressure (MAP) and central venous pressure (CVP). Similarly abdominal perfusion pressure (APP) is calculated as the difference between MAP and IAP. MPP has been seen to be associated with progression of organ system injury [2]. …

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Malbrain ML (2004) Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal. Intensive Care Med 30(3):357–371. https://doi.org/10.1007/s00134-003-2107-2CrossRefPubMed

Ostermann M, Hall A, Crichton S (2017) Low mean perfusion pressure is a risk factor for progression of acute kidney injury in critically ill patients—a retrospective analysis. BMC Nephrol 18(1):151. https://doi.org/10.1186/s12882-017-0568-8CrossRefPubMedPubMedCentral

Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B et al (2013) Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 39(7):1190–1206. https://doi.org/10.1007/s00134-013-2906-zCrossRefPubMedPubMedCentral

Malbrain M, Peeters Y, Wise R (2016) The neglected role of abdominal compliance in organ-organ interactions. Crit Care 20:67. https://doi.org/10.1186/s13054-016-1220-xCrossRefPubMedPubMedCentral

Sugrue M, De Waele JJ, De Keulenaer BL, Roberts DJ, Malbrain ML (2015) A user’s guide to intra-abdominal pressure measurement. Anaesthesiol Intensive Ther 47(3):241–251. https://doi.org/10.5603/AIT.a2015.0025CrossRefPubMed

Regli A, Pelosi P, Malbrain ML (2019) Ventilation in patients with intra-abdominal hypertension: what every critical care physician needs to know. Ann Intensive Care 9(1):52. https://doi.org/10.1186/s13613-019-0522-yCrossRefPubMedPubMedCentral

De Waele JJ, De Laet I, Malbrain ML (2007) Rational intraabdominal pressure monitoring: how to do it? Acta Clin Belg 62(Suppl 1):16–25. https://doi.org/10.1179/acb.2007.62.s1.004CrossRefPubMed

Coca A, Arias-Cabrales C, Perez-Saez MJ, Fidalgo V, Gonzalez P, Acosta-Ochoa I et al (2022) Impact of intra-abdominal pressure on early kidney transplant outcomes. Sci Rep 12(1):2257. https://doi.org/10.1038/s41598-022-06268-7CrossRefPubMedPubMedCentral

Balogh Z, De Waele JJ, Malbrain ML (2007) Continuous intra-abdominal pressure monitoring. Acta Clin Belg 62(Suppl 1):26–32. https://doi.org/10.1179/acb.2007.62.s1.005CrossRefPubMed

10.

Khanna A, Minear S, Kurz A, Moll V, Stanton K et al (2022) Intra-abdominal hypertension in cardiac surgery patients: a multicenter observational sub-study of the Accuryn registry. J Clin Monit Comput. https://doi.org/10.1007/s10877-022-00878-2CrossRefPubMed

11.

Tayebi S, Gutierrez A, Mohout I, Smets E, Wise R, Stiens J et al (2021) A concise overview of non-invasive intra-abdominal pressure measurement techniques: from bench to bedside. J Clin Monit Comput 35(1):51–70. https://doi.org/10.1007/s10877-020-00561-4CrossRefPubMed

12.

Prabhakar A, Stanton K, Burnett D, Egan K, Keeling B, Moll V (2021) 1130: combining urine output and intra-abdominal pressures predict acute kidney injury early. Crit Care Med 49(1):567. https://doi.org/10.1097/01.ccm.0000730408.55242.7cCrossRef

13.

Malbrain ML, Roberts DJ, Sugrue M, De Keulenaer BL, Ivatury R, Pelosi P et al (2014) The polycompartment syndrome: a concise state-of-the-art review. Anaesthesiol Intensive Ther 46(5):433–450. https://doi.org/10.5603/AIT.2014.0064CrossRefPubMed

14.

Malbrain ML, Wilmer A (2007) The polycompartment syndrome: towards an understanding of the interactions between different compartments! Intensive Care Med 33(11):1869–1872. https://doi.org/10.1007/s00134-007-0843-4CrossRefPubMed

15.

Malbrain MLNG, De Laet I, De Waele J (2010) The Polycompartment syndrome: what’s all the fuss about? In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin, pp 465–484. https://doi.org/10.1007/978-3-642-10286-8_44CrossRef

Title: Continuous intra-abdominal pressure: is it ready for prime time?
Authors: Manu L. N. G. Malbrain
Bart L. De Keulenaer
Ashish K. Khanna
Publication date: 04-08-2022
Publisher: Springer Berlin Heidelberg
Keywords: Acute Kidney Injury
Acute Kidney Injury
Abdominal Compartment Syndrome
Published in: Intensive Care Medicine / Issue 10/2022
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-022-06780-4

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