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01-01-2007 | Editorial

It's time to measure intra-abdominal pressure to optimize hemodynamics!

Authors: Paolo Pelosi, Enrico Calzia, Pierre Asfar

Published in: Intensive Care Medicine | Issue 1/2007

Excerpt

In the current issue of Intensive Care Medicine, Duperret et al. [1] present an interesting article on the effects of increased intra-abdominal pressure (IAP) on arterial pressure variations induced by positive-pressure ventilation. The experiments were performed on seven healthy anesthetized pigs, mechanically ventilated at constant tidal volume and in absence of positive end-expiratory pressure. Systolic pressure variations (SPV), pulse pressure variations and stroke volume variations were recorded with IAP from 0 to 30 mmHg in normovolemic and severe hypovolemic conditions (mean arterial pressure 60 mmHg). As expected, SPV, pulse pressure variations, and stroke volume variations increased during hypovolemia, but more importantly they also increased with higher IAP simultaneously with a marked increase in pleural pressure swings associated with tidal mechanical breaths. The authors conclude that SPV may be misleading in assessing volemia in patients with increased IAP. …

Duperret S, Lhuillier F, Piriou V, Vivier E, Metton O, Branche P, Annat G, Bendjelid K, Viale JP (2006) Increased intra-abdominal pressure affects respiratory variations in arterial pressure in normovolaemic and hypovolaemic mechanically ventilated healthy pigs. Intensive Care Med DOI 10.1007/s00134-006-0412-2

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Title: It's time to measure intra-abdominal pressure to optimize hemodynamics!
Authors: Paolo Pelosi
Enrico Calzia
Pierre Asfar
Publication date: 01-01-2007
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 1/2007
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-006-0413-1

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It's time to measure intra-abdominal pressure to optimize hemodynamics!

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