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Intensive Care Medicine
Published in: Intensive Care Medicine 11/2006

01-11-2006 | Expert Panel

Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions

Authors: Manu L. N. G. Malbrain, Michael L. Cheatham, Andrew Kirkpatrick, Michael Sugrue, Michael Parr, Jan De Waele, Zsolt Balogh, Ari Leppäniemi, Claudia Olvera, Rao Ivatury, Scott D’Amours, Julia Wendon, Ken Hillman, Kenth Johansson, Karel Kolkman, Alexander Wilmer

Published in: Intensive Care Medicine | Issue 11/2006

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Abstract

Objective

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been increasingly recognized in the critically ill over the past decade. The variety of definitions proposed has led to confusion and difficulty in comparing one study to another.

Design

An international consensus group of critical care specialists convened at the second World Congress on Abdominal Compartment Syndrome to standardize definitions for IAH and ACS based upon the current understanding of the pathophysiology surrounding these two syndromes.

Methods

Prior to the conference the authors developed a blueprint for the various definitions, which was further refined both during and after the conference. The present article serves as the final report of the 2004 International ACS Consensus Definitions Conference and is endorsed by the World Society of Abdominal Compartment Syndrome (WSACS).

Results

IAH is redefined as an intra-abdominal pressure (IAP) at or above 12 mmHg. ACS is redefined as an IAP above 20 mmHg with evidence of organ dysfunction/failure. ACS is further classified as either primary, secondary, or recurrent based upon the duration and cause of the IAH-induced organ failure. Standards for IAP monitoring are set forth to facilitate accuracy of IAP measurements from patient to patient.

Conclusions

State-of-the-art definitions for IAH and ACS are proposed based upon current medical evidence as well as expert opinion. The WSACS recommends that these definitions be used for future clinical and basic science research. Specific guidelines and recommendations for clinical management of patients with IAH/ACS are published in a separate review.
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Metadata
Title
Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions
Authors
Manu L. N. G. Malbrain
Michael L. Cheatham
Andrew Kirkpatrick
Michael Sugrue
Michael Parr
Jan De Waele
Zsolt Balogh
Ari Leppäniemi
Claudia Olvera
Rao Ivatury
Scott D’Amours
Julia Wendon
Ken Hillman
Kenth Johansson
Karel Kolkman
Alexander Wilmer
Publication date
01-11-2006
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 11/2006
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-006-0349-5

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