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Published in: Intensive Care Medicine 6/2007

01-06-2007 | Expert Panel

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

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

Published in: Intensive Care Medicine | Issue 6/2007

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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. In the absence of consensus definitions and treatment guidelines the diagnosis and management of IAH and ACS remains variable from institution to institution.

Design

An international consensus group of multidisciplinary critical care specialists convened at the second World Congress on Abdominal Compartment Syndrome to develop practice guidelines for the diagnosis, management, and prevention of IAH and ACS.

Methods

Prior to the conference the authors developed a blueprint for consensus definitions and treatment guidelines which were refined both during and after the conference. The present article is the second installment of the final report from the 2004 International ACS Consensus Definitions Conference and is endorsed by the World Society of the Abdominal Compartment Syndrome.

Results

The prevalence and etiological factors for IAH and ACS are reviewed. Evidence-based medicine treatment guidelines are presented to facilitate the diagnosis and management of IAH and ACS. Recommendations to guide future studies are proposed.

Conclusions

These definitions, guidelines, and recommendations, based upon current best evidence and expert opinion are proposed to assist clinicians in the management of IAH and ACS as well as serve as a reference for future clinical and basic science research.
Literature
1.
go back to reference Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, Balogh Z, Leppaniemi A, Olvera C, Ivatury R, D'Amours S, Wendon J, Hillman K, Johansson K, Kolkman K, Wilmer A (2006) Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med 32:1722–1732PubMedCrossRef Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, Balogh Z, Leppaniemi A, Olvera C, Ivatury R, D'Amours S, Wendon J, Hillman K, Johansson K, Kolkman K, Wilmer A (2006) Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med 32:1722–1732PubMedCrossRef
2.
go back to reference Malbrain ML, Chiumello D, Pelosi P, Wilmer A, Brienza N, Malcangi V, Bihari D, Innes R, Cohen J, Singer P, Japiassu A, Kurtop E, De Keulenaer BL, Daelemans R, Del Turco M, Cosimini P, Ranieri M, Jacquet L, Laterre PF, Gattinoni L (2004) Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med 30:822–829PubMedCrossRef Malbrain ML, Chiumello D, Pelosi P, Wilmer A, Brienza N, Malcangi V, Bihari D, Innes R, Cohen J, Singer P, Japiassu A, Kurtop E, De Keulenaer BL, Daelemans R, Del Turco M, Cosimini P, Ranieri M, Jacquet L, Laterre PF, Gattinoni L (2004) Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med 30:822–829PubMedCrossRef
3.
go back to reference Malbrain ML, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri VM, Del Turco M, Wilmer A, Brienza N, Malcangi V, Cohen J, Japiassu A, De Keulenaer BL, Daelemans R, Jacquet L, Laterre PF, Frank G, de Souza P, Cesana B, Gattinoni L (2005) Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med 33:315–322PubMedCrossRef Malbrain ML, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri VM, Del Turco M, Wilmer A, Brienza N, Malcangi V, Cohen J, Japiassu A, De Keulenaer BL, Daelemans R, Jacquet L, Laterre PF, Frank G, de Souza P, Cesana B, Gattinoni L (2005) Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med 33:315–322PubMedCrossRef
4.
go back to reference Ivatury RR, Porter JM, Simon RJ, Islam S, John R, Stahl WM (1998) Intra-abdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence, and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma 44:1016–1021PubMed Ivatury RR, Porter JM, Simon RJ, Islam S, John R, Stahl WM (1998) Intra-abdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence, and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma 44:1016–1021PubMed
5.
go back to reference Cheatham ML (1999) Intra-abdominal hypertension and abdominal compartment syndrome. New Horiz 7:96–115 Cheatham ML (1999) Intra-abdominal hypertension and abdominal compartment syndrome. New Horiz 7:96–115
6.
go back to reference Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (2006) Abdominal compartment syndrome. Landes Biosciences, Georgetown Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (2006) Abdominal compartment syndrome. Landes Biosciences, Georgetown
7.
go back to reference Biffl WL, Moore EE, Burch JM, Offner PJ, Franciose RJ, Johnson JL (2001) Secondary abdominal compartment syndrome is a highly lethal event. Am J Surg 182:645–648PubMedCrossRef Biffl WL, Moore EE, Burch JM, Offner PJ, Franciose RJ, Johnson JL (2001) Secondary abdominal compartment syndrome is a highly lethal event. Am J Surg 182:645–648PubMedCrossRef
8.
go back to reference Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Valdivia A, Sailors RM, Moore FA (2003) Supranormal trauma resuscitation causes more cases of abdominal compartment syndrome. Arch Surg 138:637–642PubMedCrossRef Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Valdivia A, Sailors RM, Moore FA (2003) Supranormal trauma resuscitation causes more cases of abdominal compartment syndrome. Arch Surg 138:637–642PubMedCrossRef
9.
go back to reference Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Holcomb JB, Ware DN, Moore FA (2002) Secondary abdominal compartment syndrome is an elusive early complication of traumatic shock resuscitation. Am J Surg 184:538–543PubMedCrossRef Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Holcomb JB, Ware DN, Moore FA (2002) Secondary abdominal compartment syndrome is an elusive early complication of traumatic shock resuscitation. Am J Surg 184:538–543PubMedCrossRef
10.
go back to reference Balogh Z, McKinley BA, Holcomb JB, Miller CC, Cocanour CS, Kozar RA, Valdivia A, Ware DN, Moore FA (2003) Both primary and secondary abdominal compartment syndrome can be predicted early and are harbingers of multiple organ failure. J Trauma 54:848–859PubMed Balogh Z, McKinley BA, Holcomb JB, Miller CC, Cocanour CS, Kozar RA, Valdivia A, Ware DN, Moore FA (2003) Both primary and secondary abdominal compartment syndrome can be predicted early and are harbingers of multiple organ failure. J Trauma 54:848–859PubMed
11.
go back to reference Ertel W, Oberholzer A, Platz A, Stocker R, Trentz O (2000) Incidence and clinical pattern of the abdominal compartment syndrome after “damage-control” laparotomy in 311 patients with severe abdominal and/or pelvic trauma. Crit Care Med 28:1747–1753PubMedCrossRef Ertel W, Oberholzer A, Platz A, Stocker R, Trentz O (2000) Incidence and clinical pattern of the abdominal compartment syndrome after “damage-control” laparotomy in 311 patients with severe abdominal and/or pelvic trauma. Crit Care Med 28:1747–1753PubMedCrossRef
12.
go back to reference McNelis J, Marini CP, Jurkiewicz A, Fields S, Caplin D, Stein D, Ritter G, Nathan I, Simms HH (2002) Predictive factors associated with the development of abdominal compartment syndrome in the surgical intensive care unit. Arch Surg 137:133–136PubMedCrossRef McNelis J, Marini CP, Jurkiewicz A, Fields S, Caplin D, Stein D, Ritter G, Nathan I, Simms HH (2002) Predictive factors associated with the development of abdominal compartment syndrome in the surgical intensive care unit. Arch Surg 137:133–136PubMedCrossRef
13.
go back to reference Sugrue M, Buist MD, Hourihan F, Deane S, Bauman A, Hillman K (1995) Prospective study of intra-abdominal hypertension and renal function after laparotomy. Br J Surg 82:235–238PubMedCrossRef Sugrue M, Buist MD, Hourihan F, Deane S, Bauman A, Hillman K (1995) Prospective study of intra-abdominal hypertension and renal function after laparotomy. Br J Surg 82:235–238PubMedCrossRef
14.
go back to reference Malbrain ML (1999) Abdominal pressure in the critically ill: measurement and clinical relevance. Intensive Care Med 25:1453–1458PubMedCrossRef Malbrain ML (1999) Abdominal pressure in the critically ill: measurement and clinical relevance. Intensive Care Med 25:1453–1458PubMedCrossRef
15.
go back to reference Ivatury RR, Sugerman HJ (2000) Abdominal compartment syndrome: a century later, isn't it time to pay attention? Crit Care Med 28:2137–2138PubMedCrossRef Ivatury RR, Sugerman HJ (2000) Abdominal compartment syndrome: a century later, isn't it time to pay attention? Crit Care Med 28:2137–2138PubMedCrossRef
16.
go back to reference Sugrue M (2002) Intra-abdominal pressure: time for clinical practice guidelines? Intensive Care Med 28:389–391PubMedCrossRef Sugrue M (2002) Intra-abdominal pressure: time for clinical practice guidelines? Intensive Care Med 28:389–391PubMedCrossRef
17.
go back to reference Malbrain ML (2000) Abdominal pressure in the critically ill. Curr Opin Crit Care 6:17–29CrossRef Malbrain ML (2000) Abdominal pressure in the critically ill. Curr Opin Crit Care 6:17–29CrossRef
18.
go back to reference Gracias VH, Braslow B, Johnson J, Pryor J, Gupta R, Reilly P, Schwab CW (2002) Abdominal compartment syndrome in the open abdomen. Arch Surg 137:1298–1300PubMedCrossRef Gracias VH, Braslow B, Johnson J, Pryor J, Gupta R, Reilly P, Schwab CW (2002) Abdominal compartment syndrome in the open abdomen. Arch Surg 137:1298–1300PubMedCrossRef
19.
go back to reference Ivy ME, Possenti PP, Kepros J, Atweh NA, D'Aiuto M, Palmer J, Pineau M, Burns GA, Caushaj PF (1999) Abdominal compartment syndrome in patients with burns. J Burn Care Rehabil 20:351–353PubMedCrossRef Ivy ME, Possenti PP, Kepros J, Atweh NA, D'Aiuto M, Palmer J, Pineau M, Burns GA, Caushaj PF (1999) Abdominal compartment syndrome in patients with burns. J Burn Care Rehabil 20:351–353PubMedCrossRef
20.
go back to reference Sugrue M, Jones F, Deane SA, Bishop G, Bauman A, Hillman K (1999) Intra-abdominal hypertension is an independent cause of postoperative renal impairment. Arch Surg 134:1082–1085PubMedCrossRef Sugrue M, Jones F, Deane SA, Bishop G, Bauman A, Hillman K (1999) Intra-abdominal hypertension is an independent cause of postoperative renal impairment. Arch Surg 134:1082–1085PubMedCrossRef
21.
go back to reference Meldrum DR, Moore FA, Moore EE, Franciose RJ, Sauaia A, Burch JM (1997) Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg 174:667–672PubMedCrossRef Meldrum DR, Moore FA, Moore EE, Franciose RJ, Sauaia A, Burch JM (1997) Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg 174:667–672PubMedCrossRef
22.
go back to reference Maxwell RA, Fabian TC, Croce MA, Davis KA (1999) Secondary abdominal compartment syndrome: an underappreciated manifestation of severe hemorrhagic shock. J Trauma 47:995–999PubMed Maxwell RA, Fabian TC, Croce MA, Davis KA (1999) Secondary abdominal compartment syndrome: an underappreciated manifestation of severe hemorrhagic shock. J Trauma 47:995–999PubMed
23.
go back to reference Hong JJ, Cohn SM, Perez JM, Dolich MO, Brown M, McKenney MG (2002) Prospective study of the incidence and outcome of intra-abdominal hypertension and the abdominal compartment syndrome. Br J Surg 89:591–596PubMedCrossRef Hong JJ, Cohn SM, Perez JM, Dolich MO, Brown M, McKenney MG (2002) Prospective study of the incidence and outcome of intra-abdominal hypertension and the abdominal compartment syndrome. Br J Surg 89:591–596PubMedCrossRef
24.
go back to reference Cheatham ML, Safcsak K, Llerena LE, Morrow CE, Block EFJ (2004) Long-term physical, mental, and functional consequences of abdominal decompression. J Trauma 56:237–242PubMed Cheatham ML, Safcsak K, Llerena LE, Morrow CE, Block EFJ (2004) Long-term physical, mental, and functional consequences of abdominal decompression. J Trauma 56:237–242PubMed
25.
go back to reference Cheatham ML, White MW, Sagraves SG, Johnson JL, Block EF (2000) Abdominal perfusion pressure: a superior parameter in the assessment of intra-abdominal hypertension. J Trauma 49:621–626PubMed Cheatham ML, White MW, Sagraves SG, Johnson JL, Block EF (2000) Abdominal perfusion pressure: a superior parameter in the assessment of intra-abdominal hypertension. J Trauma 49:621–626PubMed
26.
go back to reference Hobson KG, Young KM, Ciraulo A, Palmieri TL, Greenhalgh DG (2002) Release of abdominal compartment syndrome improves survival in patients with burn injury. J Trauma 53:1129–1133PubMed Hobson KG, Young KM, Ciraulo A, Palmieri TL, Greenhalgh DG (2002) Release of abdominal compartment syndrome improves survival in patients with burn injury. J Trauma 53:1129–1133PubMed
27.
go back to reference Malbrain ML (2002) Abdominal perfusion pressure as a prognostic marker in intra-abdominal hypertension. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 792–814 Malbrain ML (2002) Abdominal perfusion pressure as a prognostic marker in intra-abdominal hypertension. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 792–814
28.
go back to reference Pupelis G, Austrums E, Snippe K, Berzins M (2002) Clinical significance of increased intraabdominal pressure in severe acute pancreatitis. Acta Chir Belg 102:71–74PubMed Pupelis G, Austrums E, Snippe K, Berzins M (2002) Clinical significance of increased intraabdominal pressure in severe acute pancreatitis. Acta Chir Belg 102:71–74PubMed
29.
go back to reference Biancofiore G, Bindi ML, Boldrini A, Consani G, Bisa M, Esposito M, Urbani L, Catalano G, Filipponi F, Mosca F (2003) Intra-abdominal pressure monitoring in liver transplant recipients: a prospective study. Intensive Care Med 29:30–36PubMed Biancofiore G, Bindi ML, Boldrini A, Consani G, Bisa M, Esposito M, Urbani L, Catalano G, Filipponi F, Mosca F (2003) Intra-abdominal pressure monitoring in liver transplant recipients: a prospective study. Intensive Care Med 29:30–36PubMed
30.
go back to reference Efstathiou E, Zaka M, Farmakis M (2005) Intra-abdominal pressure monitoring in septic patients. Intensive Care Med 31:S183 Efstathiou E, Zaka M, Farmakis M (2005) Intra-abdominal pressure monitoring in septic patients. Intensive Care Med 31:S183
31.
go back to reference O'Mara MS, Slater H, Goldfarb IW, Caushaj PF (2005) A prospective, randomized evaluation of intra-abdominal pressures with crystalloid and colloid resuscitation in burn patients. J Trauma 58:1011–1018PubMed O'Mara MS, Slater H, Goldfarb IW, Caushaj PF (2005) A prospective, randomized evaluation of intra-abdominal pressures with crystalloid and colloid resuscitation in burn patients. J Trauma 58:1011–1018PubMed
32.
go back to reference Malbrain ML (2004) Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal. Intensive Care Med 30:357–371PubMedCrossRef Malbrain ML (2004) Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal. Intensive Care Med 30:357–371PubMedCrossRef
33.
go back to reference De Waele J, Pletinckx P, Blot S, Hoste E (2006) Saline volume in transvesical intra-abdominal pressure measurement: enough is enough. Intensive Care Med 32:455–459PubMedCrossRef De Waele J, Pletinckx P, Blot S, Hoste E (2006) Saline volume in transvesical intra-abdominal pressure measurement: enough is enough. Intensive Care Med 32:455–459PubMedCrossRef
34.
go back to reference Kirkpatrick AW, Brenneman FD, McLean RF, Rapanos T, Boulanger BR (2000) Is clinical examination an accurate indicator of raised intra-abdominal pressure in critically injured patients? Can J Surg 43:207–211PubMed Kirkpatrick AW, Brenneman FD, McLean RF, Rapanos T, Boulanger BR (2000) Is clinical examination an accurate indicator of raised intra-abdominal pressure in critically injured patients? Can J Surg 43:207–211PubMed
35.
go back to reference Guyatt G, Gutterman D, Baumann MH, Addrizzo-Harris D, Hylek EM, Phillips B, Raskob G, Lewis SZ, Schunemann H (2006) Grading strength of recommendations and quality of evidence in clinical guidelines: report from an American College of Chest Physicians Task Force. Chest 129:174–181PubMedCrossRef Guyatt G, Gutterman D, Baumann MH, Addrizzo-Harris D, Hylek EM, Phillips B, Raskob G, Lewis SZ, Schunemann H (2006) Grading strength of recommendations and quality of evidence in clinical guidelines: report from an American College of Chest Physicians Task Force. Chest 129:174–181PubMedCrossRef
36.
go back to reference Schunemann HJ, Jaeschke R, Cook DJ, Bria WF, El-Solh AA, Ernst A, Fahy BF, Gould MK, Horan KL, Krishnan JA, Manthous CA, Maurer JR, McNicholas WT, Oxman AD, Rubenfeld G, Turino GM, Guyatt G, ATS Documents Development, Implementation Committee (2006) An official ATS statement: grading the quality of evidence and strength of recommendations in ATS guidelines and recommendations. Am J Respir Crit Care Med 174:605–614PubMedCrossRef Schunemann HJ, Jaeschke R, Cook DJ, Bria WF, El-Solh AA, Ernst A, Fahy BF, Gould MK, Horan KL, Krishnan JA, Manthous CA, Maurer JR, McNicholas WT, Oxman AD, Rubenfeld G, Turino GM, Guyatt G, ATS Documents Development, Implementation Committee (2006) An official ATS statement: grading the quality of evidence and strength of recommendations in ATS guidelines and recommendations. Am J Respir Crit Care Med 174:605–614PubMedCrossRef
37.
go back to reference Greenhalgh DG, Warden GD (1994) The importance of intra-abdominal pressure measurements in burned children. J Trauma 36:685–690PubMed Greenhalgh DG, Warden GD (1994) The importance of intra-abdominal pressure measurements in burned children. J Trauma 36:685–690PubMed
38.
go back to reference Latenser BA, Kowal-Vern A, Kimball D, Chakrin A, Dujovny N (2002) A pilot study comparing percutaneous decompression with decompressive laparotomy for acute abdominal compartment syndrome in thermal injury. J Burn Care Rehabil 23:190–195PubMedCrossRef Latenser BA, Kowal-Vern A, Kimball D, Chakrin A, Dujovny N (2002) A pilot study comparing percutaneous decompression with decompressive laparotomy for acute abdominal compartment syndrome in thermal injury. J Burn Care Rehabil 23:190–195PubMedCrossRef
39.
go back to reference Sugrue M, Jones F, Lee A, Buist MD, Deane S, Bauman A, Hillman K (1996) Intraabdominal pressure and gastric intramucosal pH: is there an association? World J Surg 20:988–991PubMedCrossRef Sugrue M, Jones F, Lee A, Buist MD, Deane S, Bauman A, Hillman K (1996) Intraabdominal pressure and gastric intramucosal pH: is there an association? World J Surg 20:988–991PubMedCrossRef
40.
go back to reference Morris JA Jr, Eddy VA, Blinman TA, Rutherford EJ, Sharp KW (1993) The staged celiotomy for trauma. Issues in unpacking and reconstruction. Ann Surg 217:576–584PubMedCrossRef Morris JA Jr, Eddy VA, Blinman TA, Rutherford EJ, Sharp KW (1993) The staged celiotomy for trauma. Issues in unpacking and reconstruction. Ann Surg 217:576–584PubMedCrossRef
41.
go back to reference Offner PJ, de Souza AL, Moore EE, Biffl WL, Franciose RJ, Johnson JL, Burch JM (2001) Avoidance of abdominal compartment syndrome in damage-control laparotomy after trauma. Arch Surg 136:676–681PubMedCrossRef Offner PJ, de Souza AL, Moore EE, Biffl WL, Franciose RJ, Johnson JL, Burch JM (2001) Avoidance of abdominal compartment syndrome in damage-control laparotomy after trauma. Arch Surg 136:676–681PubMedCrossRef
42.
go back to reference Raeburn CD, Moore EE, Biffl WL, Johnson JL, Meldrum DR, Offner PJ, Franciose RJ, Burch JM (2001) The abdominal compartment syndrome is a morbid complication of postinjury damage control surgery. Am J Surg 182:542–546PubMedCrossRef Raeburn CD, Moore EE, Biffl WL, Johnson JL, Meldrum DR, Offner PJ, Franciose RJ, Burch JM (2001) The abdominal compartment syndrome is a morbid complication of postinjury damage control surgery. Am J Surg 182:542–546PubMedCrossRef
43.
go back to reference De Waele JJ, Hoste E, Blot SI, Decruyenaere J, Colardyn F (2005) Intra-abdominal hypertension in patients with severe acute pancreatitis. Crit Care 9:R452–457PubMedCrossRef De Waele JJ, Hoste E, Blot SI, Decruyenaere J, Colardyn F (2005) Intra-abdominal hypertension in patients with severe acute pancreatitis. Crit Care 9:R452–457PubMedCrossRef
44.
go back to reference Tao HQ, Zhang JX, Zou SC (2004) Clinical characteristics and management of patients with early acute severe pancreatitis: experience from a medical center in China. World J Gastroenterol 10:919–921PubMed Tao HQ, Zhang JX, Zou SC (2004) Clinical characteristics and management of patients with early acute severe pancreatitis: experience from a medical center in China. World J Gastroenterol 10:919–921PubMed
45.
go back to reference Beck R, Halberthal M, Zonis Z, Shoshani G, Hayari L, Bar-Joseph G (2001) Abdominal compartment syndrome in children. Pediatr Crit Care Med 2:51–56PubMedCrossRef Beck R, Halberthal M, Zonis Z, Shoshani G, Hayari L, Bar-Joseph G (2001) Abdominal compartment syndrome in children. Pediatr Crit Care Med 2:51–56PubMedCrossRef
46.
go back to reference Diaz FJ, Fernandez SA, Gotay F (2006) Identification and management of abdominal compartment syndrome in the pediatric intensive care unit. P R Health Sci J 25:17–22PubMed Diaz FJ, Fernandez SA, Gotay F (2006) Identification and management of abdominal compartment syndrome in the pediatric intensive care unit. P R Health Sci J 25:17–22PubMed
47.
go back to reference Sugrue M, Bauman A, Jones F, Bishop G, Flabouris A, Parr M, Stewart A, Hillman K, Deane SA (2002) Clinical examination is an inaccurate predictor of intraabdominal pressure. World J Surg 26:1428–1431PubMedCrossRef Sugrue M, Bauman A, Jones F, Bishop G, Flabouris A, Parr M, Stewart A, Hillman K, Deane SA (2002) Clinical examination is an inaccurate predictor of intraabdominal pressure. World J Surg 26:1428–1431PubMedCrossRef
48.
go back to reference Malbrain MLNG, Jones F (2006) Intra-abdominal pressure measurement techniques. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 19–68 Malbrain MLNG, Jones F (2006) Intra-abdominal pressure measurement techniques. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 19–68
49.
go back to reference Fusco MA, Martin RS, Chang MC (2001) Estimation of intra-abdominal pressure by bladder pressure measurement: validity and methodology. J Trauma 50:297–302PubMed Fusco MA, Martin RS, Chang MC (2001) Estimation of intra-abdominal pressure by bladder pressure measurement: validity and methodology. J Trauma 50:297–302PubMed
50.
go back to reference Malbrain ML, Deeren DH (2006) Effect of bladder volume on measured intravesical pressure: a prospective cohort study. Crit Care 10:R98PubMedCrossRef Malbrain ML, Deeren DH (2006) Effect of bladder volume on measured intravesical pressure: a prospective cohort study. Crit Care 10:R98PubMedCrossRef
51.
go back to reference Kirkpatrick AW, Balogh Z, Ball CG, Ahmed N, Chun R, McBeth P, Kirby A, Zygun DA (2006) The secondary abdominal compartment syndrome: iatrogenic or unavoidable? J Am Coll Surg 202:668–679PubMedCrossRef Kirkpatrick AW, Balogh Z, Ball CG, Ahmed N, Chun R, McBeth P, Kirby A, Zygun DA (2006) The secondary abdominal compartment syndrome: iatrogenic or unavoidable? J Am Coll Surg 202:668–679PubMedCrossRef
52.
go back to reference Cheatham ML, Malbrain MLNG (2006) Abdominal perfusion pressure. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 69–81 Cheatham ML, Malbrain MLNG (2006) Abdominal perfusion pressure. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 69–81
53.
go back to reference Balogh Z, Moore FA (2006) Postinjury secondary abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 170–177 Balogh Z, Moore FA (2006) Postinjury secondary abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 170–177
54.
go back to reference Drummond GB, Duncan MK (2002) Abdominal pressure during laparoscopy: effects of fentanyl. Br J Anaesth 88:384–388PubMedCrossRef Drummond GB, Duncan MK (2002) Abdominal pressure during laparoscopy: effects of fentanyl. Br J Anaesth 88:384–388PubMedCrossRef
55.
go back to reference Parr MJ, Olvera CI (2006) Medical management of abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 232–239 Parr MJ, Olvera CI (2006) Medical management of abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 232–239
56.
go back to reference Deeren D, Dits H, Malbrain MLNG (2005) Correlation between intra-abdominal and intracranial pressure in nontraumatic brain injury. Intensive Care Med 31:1577–1581PubMedCrossRef Deeren D, Dits H, Malbrain MLNG (2005) Correlation between intra-abdominal and intracranial pressure in nontraumatic brain injury. Intensive Care Med 31:1577–1581PubMedCrossRef
57.
go back to reference De Waele J, Delaet I, Hoste E, Verholen E, Blot S (2006) The effect of neuromuscular blockers on intraabdominal pressure. Crit Care Med 34:A70 De Waele J, Delaet I, Hoste E, Verholen E, Blot S (2006) The effect of neuromuscular blockers on intraabdominal pressure. Crit Care Med 34:A70
58.
go back to reference Mertens zur Borg IR, Verbrugge SJ, Kolkman KA (2006) Anesthetic considerations in abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 254–265 Mertens zur Borg IR, Verbrugge SJ, Kolkman KA (2006) Anesthetic considerations in abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 254–265
59.
go back to reference Mayberry JC (2006) Prevention of abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 223–231 Mayberry JC (2006) Prevention of abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 223–231
60.
go back to reference Kollef MH (1993) Ventilator-associated pnuemonia: a multivariate analysis. JAMA 270:1965–1970PubMedCrossRef Kollef MH (1993) Ventilator-associated pnuemonia: a multivariate analysis. JAMA 270:1965–1970PubMedCrossRef
61.
go back to reference Drakulovic MB, Torres A, Bauer TT, Nicolas JM, Nogue S, Ferrer M (1999) Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomized trial. Lancet 354:1851–1858PubMedCrossRef Drakulovic MB, Torres A, Bauer TT, Nicolas JM, Nogue S, Ferrer M (1999) Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomized trial. Lancet 354:1851–1858PubMedCrossRef
62.
go back to reference Pelosi P, Tubiolo D, Mascheroni D, Vicardi P, Crotti S, Valenza F, Gattinoni L (1998) Effects of the prone position on respiratory mechanics and gas exchange during acute lung injury. Am J Respir Crit Care Med 157:387–93PubMed Pelosi P, Tubiolo D, Mascheroni D, Vicardi P, Crotti S, Valenza F, Gattinoni L (1998) Effects of the prone position on respiratory mechanics and gas exchange during acute lung injury. Am J Respir Crit Care Med 157:387–93PubMed
63.
go back to reference Hering R, Wrigge H, Vorwerk R, Brensing KA, Schroder S, Zinserling J, Hoeft A, Spiegel TV, Putensen C (2001) The effects of prone positioning on intraabdominal pressure and cardiovascular and renal function in patients with acute lung injury. Anesth Analg 92:1226–1231PubMedCrossRef Hering R, Wrigge H, Vorwerk R, Brensing KA, Schroder S, Zinserling J, Hoeft A, Spiegel TV, Putensen C (2001) The effects of prone positioning on intraabdominal pressure and cardiovascular and renal function in patients with acute lung injury. Anesth Analg 92:1226–1231PubMedCrossRef
64.
go back to reference Hering R, Vorwerk R, Wrigge H, Zinserling J, Schroder S, von Spiegel T, Hoeft A, Putensen C (2002) Prone positioning, systemic hemodynamics, hepatic indocyanine green kinetics, and gastric intramucosal energy balance in patients with acute lung injury. Intensive Care Med 28:53–58PubMedCrossRef Hering R, Vorwerk R, Wrigge H, Zinserling J, Schroder S, von Spiegel T, Hoeft A, Putensen C (2002) Prone positioning, systemic hemodynamics, hepatic indocyanine green kinetics, and gastric intramucosal energy balance in patients with acute lung injury. Intensive Care Med 28:53–58PubMedCrossRef
65.
go back to reference Madl C, Druml W (2003) Gastrointestinal disorders of the critically ill. Systemic consequences of ileus. Best Pract Res Clin Gastroenterol 17:445–456PubMedCrossRef Madl C, Druml W (2003) Gastrointestinal disorders of the critically ill. Systemic consequences of ileus. Best Pract Res Clin Gastroenterol 17:445–456PubMedCrossRef
66.
go back to reference Ponec RJ, Saunders MD, Kimmey MB (1999) Neostigmine for the treatment of acute colonic pseudo-obstruction. N Engl J Med 341:137–141PubMedCrossRef Ponec RJ, Saunders MD, Kimmey MB (1999) Neostigmine for the treatment of acute colonic pseudo-obstruction. N Engl J Med 341:137–141PubMedCrossRef
67.
go back to reference Wilmer A, Dits H, Malbrain ML, Frans E, Tack J (1997) Gastric emptying in the critically ill-The way forward. Intensive Care Med 23:928–929PubMed Wilmer A, Dits H, Malbrain ML, Frans E, Tack J (1997) Gastric emptying in the critically ill-The way forward. Intensive Care Med 23:928–929PubMed
68.
go back to reference Gorecki PJ, Kessler E, Schein M (2000) Abdominal compartment syndrome from intractable constipation. J Am Coll Surg 190:371PubMedCrossRef Gorecki PJ, Kessler E, Schein M (2000) Abdominal compartment syndrome from intractable constipation. J Am Coll Surg 190:371PubMedCrossRef
69.
go back to reference van der Spoel JI, Oudemans-van Straaten HM, Stoutenbeek CP, Bosman RJ, Zandstra DF (2001) Neostigmine resolves critical illness-related colonic ileus in intensive care patients with multiple organ failure-A prospective, double-blind, placebo-controlled trial. Intensive Care Med 27:822–827PubMedCrossRef van der Spoel JI, Oudemans-van Straaten HM, Stoutenbeek CP, Bosman RJ, Zandstra DF (2001) Neostigmine resolves critical illness-related colonic ileus in intensive care patients with multiple organ failure-A prospective, double-blind, placebo-controlled trial. Intensive Care Med 27:822–827PubMedCrossRef
70.
go back to reference Sugrue M, D'Amours S (2001) The problems with positive end expiratory pressure (PEEP) in association with abdominal compartment syndrome (ACS). J Trauma 51:419–420PubMed Sugrue M, D'Amours S (2001) The problems with positive end expiratory pressure (PEEP) in association with abdominal compartment syndrome (ACS). J Trauma 51:419–420PubMed
71.
go back to reference Sussman AM, Boyd CR, Williams JS, DiBenedetto RJ (1991) Effect of positive end-expiratory pressure on intra-abdominal pressure. South Med J 84:697–700PubMed Sussman AM, Boyd CR, Williams JS, DiBenedetto RJ (1991) Effect of positive end-expiratory pressure on intra-abdominal pressure. South Med J 84:697–700PubMed
72.
go back to reference Pruitt BA Jr (2000) Protection from excessive resuscitation: “Pushing the pendulum back.” J Trauma 49:567–568PubMed Pruitt BA Jr (2000) Protection from excessive resuscitation: “Pushing the pendulum back.” J Trauma 49:567–568PubMed
73.
go back to reference Oda J, Ueyama M, Yamashita K, Inoue T, Noborio M, Ode Y, Aoki Y, Sugimoto H (2006) Hypertonic lactated saline resuscitation reduces the risk of abdominal compartment syndrome in severely burned patients. J Trauma 60:64–71PubMed Oda J, Ueyama M, Yamashita K, Inoue T, Noborio M, Ode Y, Aoki Y, Sugimoto H (2006) Hypertonic lactated saline resuscitation reduces the risk of abdominal compartment syndrome in severely burned patients. J Trauma 60:64–71PubMed
74.
go back to reference Vachharajani V, Scott LK, Grier L, Conrad S (2003) Medical management of severe intra-abdominal hypertension with aggressive diuresis and continuous ultra-filtration. Internet J Emerg Intensive Care Med 6(2) Vachharajani V, Scott LK, Grier L, Conrad S (2003) Medical management of severe intra-abdominal hypertension with aggressive diuresis and continuous ultra-filtration. Internet J Emerg Intensive Care Med 6(2)
75.
go back to reference Kula R, Szturz P, Sklienka P, Neiser J, Jahoda J (2004) A role for negative fluid balance in septic patients with abdominal compartment syndrome? Intensive Care Med 30:2138–2139PubMedCrossRef Kula R, Szturz P, Sklienka P, Neiser J, Jahoda J (2004) A role for negative fluid balance in septic patients with abdominal compartment syndrome? Intensive Care Med 30:2138–2139PubMedCrossRef
76.
go back to reference Corcos AC, Sherman HF (2001) Percutaneous treatment of secondary abdominal compartment syndrome. J Trauma 51:1062–1064PubMed Corcos AC, Sherman HF (2001) Percutaneous treatment of secondary abdominal compartment syndrome. J Trauma 51:1062–1064PubMed
77.
go back to reference Reckard JM, Chung MH, Varma MK, Zagorski SM (2005) Management of intraabdominal hypertension by percutaneous catheter drainage. J Vasc Interv Radiol 16:1019–1021PubMed Reckard JM, Chung MH, Varma MK, Zagorski SM (2005) Management of intraabdominal hypertension by percutaneous catheter drainage. J Vasc Interv Radiol 16:1019–1021PubMed
78.
go back to reference Gotlieb WH, Feldman B, Feldman-Moran O, Zmira N, Kreizer D, Segal Y, Elran E, Ben-Baruch G (1998) Intraperitoneal pressures and clinical parameters of total paracentesis for palliation of symptomatic ascites in ovarian cancer. Gynecol Oncol 71:381–385PubMedCrossRef Gotlieb WH, Feldman B, Feldman-Moran O, Zmira N, Kreizer D, Segal Y, Elran E, Ben-Baruch G (1998) Intraperitoneal pressures and clinical parameters of total paracentesis for palliation of symptomatic ascites in ovarian cancer. Gynecol Oncol 71:381–385PubMedCrossRef
79.
go back to reference Sharpe RP, Pryor JP, Gandhi RR, Stafford PW, Nance ML (2002) Abdominal compartment syndrome in the pediatric blunt trauma patient treated with paracentesis: report of two cases. J Trauma 53:380–382PubMed Sharpe RP, Pryor JP, Gandhi RR, Stafford PW, Nance ML (2002) Abdominal compartment syndrome in the pediatric blunt trauma patient treated with paracentesis: report of two cases. J Trauma 53:380–382PubMed
80.
go back to reference Parra MW, Al-Khayat H, Smith HG, Cheatham ML (2006) Paracentesis for resuscitation-induced abdominal compartment syndrome: an alternative to decompressive laparotomy in the burn patient. J Trauma 60:1119–1121PubMed Parra MW, Al-Khayat H, Smith HG, Cheatham ML (2006) Paracentesis for resuscitation-induced abdominal compartment syndrome: an alternative to decompressive laparotomy in the burn patient. J Trauma 60:1119–1121PubMed
81.
go back to reference Kozar RA, Moore FA, Cothren CC, Moore EE, Sena M, Bulger EM, Miller CC, Eastridge B, Acheson E, Brundage SI, Tataria M, McCarthy M, Holcomb JB (2006) Risk factors for hepatic morbidity following nonoperative management. Arch Surg 141:451–459PubMedCrossRef Kozar RA, Moore FA, Cothren CC, Moore EE, Sena M, Bulger EM, Miller CC, Eastridge B, Acheson E, Brundage SI, Tataria M, McCarthy M, Holcomb JB (2006) Risk factors for hepatic morbidity following nonoperative management. Arch Surg 141:451–459PubMedCrossRef
82.
go back to reference De Cleva R, Pineiro da Silva F, Zilberstein B, Machado DJB (2001) Acute renal failure due to abdominal compartment syndrome: report on four cases and literature review. Rev Hosp Clin Fac Med Sao Paulo 56:123–130PubMed De Cleva R, Pineiro da Silva F, Zilberstein B, Machado DJB (2001) Acute renal failure due to abdominal compartment syndrome: report on four cases and literature review. Rev Hosp Clin Fac Med Sao Paulo 56:123–130PubMed
83.
go back to reference Etzion Y, Barski L, Almog Y (2004) Malignant ascites presenting as abdominal compartment syndrome. Am J Emerg Med 22:430–431PubMedCrossRef Etzion Y, Barski L, Almog Y (2004) Malignant ascites presenting as abdominal compartment syndrome. Am J Emerg Med 22:430–431PubMedCrossRef
84.
go back to reference Balogh Z, Moore FA, Goettler CE, Rotondo MF, Schwab CW, Kaplan MJ (2006) Surgical management of abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 266–296 Balogh Z, Moore FA, Goettler CE, Rotondo MF, Schwab CW, Kaplan MJ (2006) Surgical management of abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Biomedical, Georgetown, pp 266–296
85.
go back to reference Brock WB, Barker DE, Burns RP (1995) Temporary closure of open abdominal wounds: the vacuum pack. Am Surg 61:30–35PubMed Brock WB, Barker DE, Burns RP (1995) Temporary closure of open abdominal wounds: the vacuum pack. Am Surg 61:30–35PubMed
86.
go back to reference Barker DE, Kaufman HJ, Smith LA, Ciraulo DL, Richart CL, Burns RP (2000) Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients. J Trauma 48:201–206PubMedCrossRef Barker DE, Kaufman HJ, Smith LA, Ciraulo DL, Richart CL, Burns RP (2000) Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients. J Trauma 48:201–206PubMedCrossRef
87.
go back to reference Smith LA, Barker DE, Chase CW, Somberg LB, Brock WB, Burns RP (1997) Vacuum pack technique of temporary abdominal closure: a four-year experience. Am Surg 63:1102–1107PubMed Smith LA, Barker DE, Chase CW, Somberg LB, Brock WB, Burns RP (1997) Vacuum pack technique of temporary abdominal closure: a four-year experience. Am Surg 63:1102–1107PubMed
88.
go back to reference Navsaria PH, Bunting M, Omoshoro-Jones J, Nicol AJ, Kahn D (2003) Temporary closure of open abdominal wounds by the modified sandwich-vacuum pack technique. Br J Surg 90:718–722PubMedCrossRef Navsaria PH, Bunting M, Omoshoro-Jones J, Nicol AJ, Kahn D (2003) Temporary closure of open abdominal wounds by the modified sandwich-vacuum pack technique. Br J Surg 90:718–722PubMedCrossRef
89.
go back to reference Wittmann DH, Aprahamian C, Bergstein JM, Edmiston CE, Frantzides CT, Quebbeman EJ, Condon RE (1993) A burr-like device to facilitate temporary abdominal closure in planned multiple laparotomies. Eur J Surg 159:75–79PubMed Wittmann DH, Aprahamian C, Bergstein JM, Edmiston CE, Frantzides CT, Quebbeman EJ, Condon RE (1993) A burr-like device to facilitate temporary abdominal closure in planned multiple laparotomies. Eur J Surg 159:75–79PubMed
90.
go back to reference Block EFJ, Cheatham ML (2001) Closing the abdomen that won't close. In: Cameron JL (ed) Current surgical therapy, 6th edn. Mosby, St. Louis, pp 1129–1135 Block EFJ, Cheatham ML (2001) Closing the abdomen that won't close. In: Cameron JL (ed) Current surgical therapy, 6th edn. Mosby, St. Louis, pp 1129–1135
Metadata
Title
Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations
Authors
Michael L. Cheatham
Manu L. N. G. Malbrain
Andrew Kirkpatrick
Michael Sugrue
Michael Parr
Jan De Waele
Zsolt Balogh
Ari Leppäniemi
Claudia Olvera
Rao Ivatury
Scott D’Amours
Julia Wendon
Ken Hillman
Alexander Wilmer
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 6/2007
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0592-4

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