Intra-abdominal Measurement Techniques: Is There Anything New?

被引：1
作者：
De Keulenaer, Bart L. [1 ]
Regli, Adrian
Malbrain, Manu L. N. G. [2 ]
机构：
[1] Fremantle Hosp, Intens Care Unit, Fremantle, WA 6160, Australia
[2] Ziekenhuis Netwerk Antwerpen, Intens Care Unit, Antwerp, Belgium
来源：
AMERICAN SURGEON | 2011年 / 77卷 / 07期
关键词：
ABDOMINAL COMPARTMENT SYNDROME; END-EXPIRATORY PRESSURE; CRITICALLY-ILL PATIENTS; INTERNATIONAL-CONFERENCE; BODY-MASS; HYPERTENSION; EXPERTS; RECOMMENDATIONS; VENTILATION;
D O I：
暂无
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Intra-abdominal pressure (TAP) measurements are essential to the diagnosis and management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome. A variety of IAP measurement techniques have been described. The intravesicular or "bladder" technique remains the gold standard. This commentary reviews each of the different techniques for IAP measurement and discusses their clinical application. It also explores how TAP is affected by changes in body position, body mass index, and positive end-expiratory pressure (PEEP). IAP should be measured every 4 to 6 hours in patients with risk factors for IAH. Putting patients in the semi-recumbent position changes the IAP measurement significantly. The role of prone positioning in unstable patients with IAH remains unclear. PEEP has a small effect on IAP.
引用
收藏
页码：S17 / S22
页数：6
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