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

@article{Cheatham2007ResultsFT,
  title={Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations},
  author={Michael L. Cheatham and Manu L N G Malbrain and Andrew W. Kirkpatrick and Michael Sugrue and Michael J. A. Parr and Jan J. De Waele and Zsolt Janos Balogh and Ari Lepp{\"a}niemi and Claudia Olvera and Rao R Ivatury and Scott K. D’Amours and Julia A. Wendon and Ken Hillman and Alexander Wilmer},
  journal={Intensive Care Medicine},
  year={2007},
  volume={33},
  pages={951-962}
}
ObjectiveIntra-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.DesignAn international consensus group of multidisciplinary critical care specialists convened at the second World Congress on Abdominal Compartment Syndrome to develop practice… Expand

Paper Mentions

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ConditionsAbdominal Compartment Syndrome, Intra-abdominal Hypertension
InterventionDevice
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ConditionsIntra-abdominal Hypertension
InterventionDrug, Procedure
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ConditionsAcute Heart Failure, Acute Renal Failure
InterventionDevice
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ConditionsAbscess, Bowel Perforation, Leakage, (+2 more)
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Recommendations are proposed to guide clinical research in the field of IAH and ACS, each with different needs regarding methodology, reporting of data and statistical analysis. Expand
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This survey showed that although most responding clinicians claim to be familiar with IAH and ACS, knowledge of published consensus definitions, measurement techniques, and clinical management are inadequate. Expand
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References

SHOWING 1-10 OF 158 REFERENCES
Identification and management of Abdominal Compartment Syndrome in the Pediatric Intensive Care Unit.
TLDR
There is evidence that in a select group of patients IAH and ACS play a significant role in their morbidity and mortality, which makes it mandatory for clinicians taking care of this population to be increasingly aware of this condition. Expand
Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions
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. Expand
Intra-abdominal hypertension in the critically ill: it is time to pay attention.
TLDR
It is time to pay attention to intra-abdominal pressure in the critically ill, and it is also time for standardized IAP measurement methods, good consensus definitions and randomized interventional studies. Expand
Abdominal compartment syndrome in children
TLDR
Although relatively infrequent compared with adults, ACS occurs in critically ill children, children with ACS have diverse primary diagnoses, with a significant number of primary extra-abdominal—mainly central nervous system—conditions. Expand
Intra-abdominal hypertension and abdominal compartment syndrome in burn patients.
TLDR
IAH occurs commonly in major burn patients, and ACS is seen regularly in patients with more than 70% body surface area burns, and the recommend bladder pressure measurements after infusion of more than 0.25 L/kg during the acute resuscitation phase and for peak inspiratory pressures greater than 40 cm H2O. Expand
Abdominal compartment syndrome in the surgical intensive care unit.
TLDR
Surgical decompression of ACS significantly reduces peak inspiratory pressure while increasing urine output and cardiac index and the observed association between ACS and ischemic bowel may result from decreased mucosal perfusion as a direct result of abdominal hypertension. Expand
Abdominal compartment syndrome.
TLDR
The gut is the organ most sensitive to IAH, and it develops evidence of end-organ damage before the development of the classic renal, pulmonary, and cardiovascular signs, and intracranial derangements with ACS are now well described. Expand
Recognition and management of abdominal compartment syndrome in the United Kingdom
TLDR
There is a need for standardisation of diagnostic threshold and protocols regarding decompression in ACS, and fewer patients are diagnosed with ACS in district general hospitals compared with teaching hospitals. Expand
Prospective characterization and selective management of the abdominal compartment syndrome.
TLDR
Timely decompression of the abdominal compartment syndrome results in improvements in cardiopulmonary and renal function and supports the use of the proposed ACS grading system for selective management of the syndrome. Expand
Abdominal Perfusion Pressure as a Prognostic Marker in Intra-abdominal Hypertension
TLDR
This chapter will focus on abdominal perfusion pressure (APP), defined as mean arterial pressure (MAP) minus IAP, as such a possible parameter that could help in following patients and guiding therapy. Expand
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