Open Access
Results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome
Manu L N G Malbrain,Michael L. Cheatham +1 more
- Vol. 32, pp 1722-1732
TLDR
State-of-the-art definitions for IAH and ACS are proposed based upon current medical evidence as well as expert opinion and recommended that these definitions be used for future clinical and basic science research.Abstract:
ObjectiveIntra-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.DesignAn 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.MethodsPrior 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).ResultsIAH 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.ConclusionsState-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.read more
Citations
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Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
R. P. Dellinger,Mitchell M. Levy,Andrew Rhodes,Djillali Annane,Herwig Gerlach,Steven M. Opal,Jonathan E. Sevransky,Charles L. Sprung,Ivor S. Douglas,Roman Jaeschke,Tiffany M. Osborn,Mark E. Nunnally,Konrad Reinhart,Ruth M. Kleinpell,Derek C. Angus,Clifford S. Deutschman,Flávia Ribeiro Machado,Gordon D. Rubenfeld,Steven A R Webb,Richard Beale,Jean Louis Vincent,Rui Moreno +21 more
TL;DR: An update to the “Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock,” last published in 2008 is provided.
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Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms.
Anders Wanhainen,Fabio Verzini,Isabelle Van Herzeele,Eric Allaire,Matthew J. Bown,Tina Cohnert,Florian Dick,Joost A. van Herwaarden,Christos D. Karkos,Mark J.W. Koelemay,Tilo Kölbel,Ian M. Loftus,Kevin Mani,Germano Melissano,Janet T. Powell,Zoltán Szeberin,Gert J. de Borst,Nabil Chakfe,Sebastian Debus,Robert J. Hinchliffe,Stavros K. Kakkos,Igor Koncar,Philippe Kolh,Jes S. Lindholt,Melina de Vega,Frank Vermassen,Martin Björck,Stephen W.K. Cheng,Ronald L. Dalman,Lazar Davidovic,Konstantinos P. Donas,J.J. Earnshaw,Hans-Henning Eckstein,Jonathan Golledge,Stéphan Haulon,Tara M. Mastracci,Ross Naylor,Jean-Baptiste Ricco,Hence J.M. Verhagen +38 more
TL;DR: Editor's Choice – European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms.
Journal ArticleDOI
Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations.
Manu L N G Malbrain,Michael L. Cheatham,Andrew W. Kirkpatrick,Michael Sugrue,Michael Parr,Jan J. De Waele,Zsolt J. Balogh,Ari Leppäniemi,Claudia Olvera,Rao R. Ivatury,Scott D'Amours,Julia Wendon,Ken Hillman,Kenth Johansson,Karel Kolkman,Aleksander Wilmer +15 more
TL;DR: 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.
Journal ArticleDOI
Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
Andrew W. Kirkpatrick,Derek J. Roberts,Jan J. De Waele,Roman Jaeschke,Manu L N G Malbrain,Bart De Keulenaer,Juan Duchesne,Martin Björck,Ari Leppäniemi,Janeth C Ejike,Michael Sugrue,Michael L. Cheatham,Rao R. Ivatury,Chad G. Ball,Annika Reintam Blaser,Adrian Regli,Adrian Regli,Adrian Regli,Zsolt J. Balogh,Scott D'Amours,Dieter Debergh,Mark Kaplan,Edward J. Kimball,Claudia Olvera +23 more
TL;DR: The overall quality of evidence available to guide development of RECOMMENDATIONS was generally low and Appropriately designed intervention trials are urgently needed for patients with IAH and ACS.
Journal ArticleDOI
Hemodynamic parameters to guide fluid therapy
TL;DR: A number of dynamic tests of volume responsiveness have been reported, which dynamically monitor the change in stroke volume after a maneuver that increases or decreases venous return (preload) and challenges the patients' Frank-Starling curve.
References
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Journal ArticleDOI
The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration
TL;DR: If intra-abdominal pressure rises above 25 mmHg in the early postoperative period and is associated with oliguria and normal blood pressure and cardiac index, the patient should undergo re-exploration and decompression of the abdomen.
Journal ArticleDOI
Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study.
Manu L N G Malbrain,Davide Chiumello,Paolo Pelosi,Alexander Wilmer,Nicola Brienza,Vincenzo Malcangi,David Bihari,Richard Innes,Jonathan Cohen,Pierre Singer,André M. Japiassú,Elizabeth Kurtop,Bart De Keulenaer,Ronny Daelemans,Monica Del Turco,P. Cosimini,Marco Ranieri,Luc-Marie Jacquet,Pierre-François Laterre,Luciano Gattinoni +19 more
TL;DR: Although a quite high prevalence of intra-abdominal hypertension was found, no risk factors were reliably associated with IAH; consequently, to get valid information about IAH, IAP needs to be measured.
Journal ArticleDOI
Intra‐abdominal pressure, sagittal abdominal diameter and obesity comorbidity
TL;DR: To determine relationship of intraabdominal pressure to central obesity and the comorbidity of obesity, a large number of patients with a history of either type of obesity or overweight are surveyed over a 12-month period.
Journal ArticleDOI
Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal
TL;DR: This review will focus on the previously described indirect IAP measurement techniques and suggest new revised methods of IVP measurement less prone to error, as well as cost-effective manometry screening techniques and some options for the future with microchip transducers.
Journal ArticleDOI
Effect of increased intra-abdominal pressure on hepatic arterial, portal venous, and hepatic microcirculatory blood flow.
TL;DR: In this paper, the effects of increased intra-abdominal pressure (IAP) on hepatic perfusion were studied in five anesthetized pigs, and laser Doppler flowmetry was used to assess changes in hepatic microv
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