Journal Article10.1097/00132586-199204000-00004
Effect of Positive End-Expiratory Pressure on Intra-Abdominal Pressure
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TL;DR: It is concluded that PEEP of 15 cm H2O or less has no effect on IAP, and the clinical implications are discussed.
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Abstract: Massive elevation of intra-abdominal pressure (IAP) causes renal, cardiovascular, and respiratory dysfunction. Positive end-expiratory pressure (PEEP) markedly increases the detrimental effect of IAP on the cardiovascular system. The purpose of this study was to determine the effect of PEEP on IAP. In 15 patients requiring mechanical ventilation, IAP was measured, after 15-minute equilibration intervals, at PEEP levels of 0, 5, 10, and 15 cm H2O. Parametric analysis with multiple paired t tests and nonparametric analysis with Spearman's rho and Kendall's tau tests were used to determine correlation between PEEP and IAP. All patients were male. The mean age was 39 years (range, 18-77). Ten patients had just had laparotomy. No correlation was found between PEEP and IAP. We conclude that PEEP of 15 cm H2O or less has no effect on IAP, and we discuss the clinical implications.
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Citations
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.
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
- 01 Jan 2006
TL;DR: 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.
1.2K
What is normal intra-abdominal pressure and how is it affected by positioning, body mass and positive end-expiratory pressure?
TL;DR: The abdomen behaves as a hydraulic system with a normal intra-abdominal pressure of about 5–7 mmHg, and with higher baseline levels in morbidly obese patients of about 9–14 mm Hg, while in stable patients without IAH, turned prone, the IAP on average is 4 and 9 MMHg higher.
Intra-abdominal Hypertension and Abdominal Compartment Syndrome.
TL;DR: IAH should be considered as a potential cause of acute kidney injury in critically ill patients and its role in other conditions, such as hepatorenal syndrome, remains to be elucidated.
317
Renal Dysfunction Associated with Intra-abdominal Hypertension and the Abdominal Compartment Syndrome
Hashim Mohmand,Stanley Goldfarb +1 more
TL;DR: IAH/ACS is an important possible cause of acute renal failure in critically ill patients and screening may benefit those at increased risk, and several nonsurgical methods can help reduce IAP.
References
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.
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
- 01 Jan 2006
TL;DR: 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.
1.2K
What is normal intra-abdominal pressure and how is it affected by positioning, body mass and positive end-expiratory pressure?
TL;DR: The abdomen behaves as a hydraulic system with a normal intra-abdominal pressure of about 5–7 mmHg, and with higher baseline levels in morbidly obese patients of about 9–14 mm Hg, while in stable patients without IAH, turned prone, the IAP on average is 4 and 9 MMHg higher.
Renal Dysfunction Associated with Intra-abdominal Hypertension and the Abdominal Compartment Syndrome
Hashim Mohmand,Stanley Goldfarb +1 more
TL;DR: IAH/ACS is an important possible cause of acute renal failure in critically ill patients and screening may benefit those at increased risk, and several nonsurgical methods can help reduce IAP.
Abdominal compartment syndrome - Intra-abdominal hypertension: Defining, diagnosing, and managing
Theodossis S. Papavramidis,Athanasios Marinis,Ioannis Pliakos,Isaak Kesisoglou,Nicki Papavramidou +4 more
TL;DR: Recognition of ACS/IAH, its risk factors and clinical signs can reduce the morbidity and mortality associated and knowledge of the pathophysiology may help rationalize the therapeutic approach.
159