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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
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A user's guide to intra-abdominal pressure measurement
Michael Sugrue, Jan J De Waele, Bart L De Keulenaer
1Department of Intensive Care and High Care Burn Unit, Ziekenhuis Netwerk Antwerpen, Belgium. manu.malbrain@skynet.be.
Anaesthesiology Intensive Therapy
|May 15, 2015
Summary
Accurate intra-abdominal pressure (IAP) measurement is crucial for critically ill patients. The transvesicular method, performed correctly, is safe, reproducible, and the gold standard for managing intra-abdominal hypertension.
Area of Science:
- Critical Care Medicine
- Surgical Patient Management
- Hemodynamic Monitoring
Background:
- Intra-abdominal pressure (IAP) monitoring is vital for critically ill patients.
- Accurate IAP measurement aids in diagnosing and managing intra-abdominal hypertension (IAH).
- Bedside IAP measurement techniques are increasingly available.
Purpose of the Study:
- To review current techniques for bedside intra-abdominal pressure measurement.
- To provide guidance on standardized and reproducible IAP measurement protocols.
- To emphasize the importance of IAP monitoring in patient management.
Main Methods:
- Review of existing intra-abdominal pressure measurement techniques.
- Emphasis on proper patient positioning (supine) and end-expiration.
- Discussion of the transvesicular (intravesicular) method as the gold standard.
Main Results:
- The transvesicular IAP measurement is convenient, safe, reproducible, and accurate.
- Specific guidelines for zero reference point (mid-axillary line crossing iliac crest) improve reproducibility.
- IAP measurement does not increase the risk of urinary tract infections.
Conclusions:
- Intra-abdominal pressure measurement is a reliable and essential tool for managing patients at risk of IAH.
- Standardized protocols tailored to ICU resources are recommended.
- Continuous IAP monitoring may hold future benefits for specific patient populations.
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