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Intensive Care Medicine
Published in: Intensive Care Medicine 3/2004

01-03-2004 | Review

Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal

Author: Manu L. N. G. Malbrain

Published in: Intensive Care Medicine | Issue 3/2004

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Abstract

The diagnosis of intra-abdominal hypertension (IAH) or abdominal compartment syndrome (ACS) is heavily dependant on the reproducibility of the intra-abdominal pressure (IAP) measurement technique. Recent studies have shown that a clinical estimation of IAP by abdominal girth or by examiner’s feel of the tenseness of the abdomen is far from accurate, with a sensitivity of around 40%. Consequently, the IAP needs to be measured with a more accurate, reproducible and reliable tool. The role of the intra-vesical pressure (IVP) as the gold standard for IAP has become a matter of debate. This review will focus on the previously described indirect IAP measurement techniques and will suggest new revised methods of IVP measurement less prone to error. Cost-effective manometry screening techniques will be discussed, as well as some options for the future with microchip transducers.
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Metadata
Title
Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal
Author
Manu L. N. G. Malbrain
Publication date
01-03-2004
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 3/2004
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-003-2107-2

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