- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Part 6.1 Physiology
- Part 6.2 Gastrointestinal monitoring
- Part 6.3 Gastrointestinal haemorrhage
- Part 6.4 Disordered gastric motility
- Part 6.5 The acute abdomen in the ICU
- Chapter 184 Pathophysiology and management of raised intra-abdominal pressure in the critically ill
- Chapter 185 Perforated viscus in the critically ill
- Chapter 186 Ischaemic bowel in the critically ill
- Chapter 187 Intra-abdominal sepsis in the critically ill
- Chapter 188 Acute acalculous cholecystitis in the critically ill
- Chapter 189 Management of the open abdomen and abdominal fistulae in the critically ill
- Part 6.6 Pancreatitis
- Part 6.7 Jaundice
- Part 6.8 Acute hepatic failure
- Part 6.9 Acute on chronic hepatic failure
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care
(p. 866) Pathophysiology and management of raised intra-abdominal pressure in the critically ill
- Chapter:
- (p. 866) Pathophysiology and management of raised intra-abdominal pressure in the critically ill
- Author(s):
Inneke E. De laet
and Manu L. N. G. Malbrain
- DOI:
- 10.1093/med/9780199600830.003.0184
The deleterious effects of raised intra-abdominal pressure (IAP) on organ function and mortality have been known for decades, even centuries. Interest in this phenomenon has revived since the 1980s and, recently, the World Society for the Abdominal Compartment Syndrome has published new consensus definitions and guidelines. This chapter will focus on the new definitions for intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS), identify risk factors for the development of IAH/ACS, provide guidelines for IAP monitoring (including when to start, how to measure, and when to stop), and discuss both surgical and medical treatment options for both IAH and ACS. The effect of increased IAP on different organ systems is explained and suggestions on how to adjust ICU management of the patient with IAH are offered.
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- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Part 6.1 Physiology
- Part 6.2 Gastrointestinal monitoring
- Part 6.3 Gastrointestinal haemorrhage
- Part 6.4 Disordered gastric motility
- Part 6.5 The acute abdomen in the ICU
- Chapter 184 Pathophysiology and management of raised intra-abdominal pressure in the critically ill
- Chapter 185 Perforated viscus in the critically ill
- Chapter 186 Ischaemic bowel in the critically ill
- Chapter 187 Intra-abdominal sepsis in the critically ill
- Chapter 188 Acute acalculous cholecystitis in the critically ill
- Chapter 189 Management of the open abdomen and abdominal fistulae in the critically ill
- Part 6.6 Pancreatitis
- Part 6.7 Jaundice
- Part 6.8 Acute hepatic failure
- Part 6.9 Acute on chronic hepatic failure
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care