Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Mar 24;24(1):97.
doi: 10.1186/s13054-020-2782-1.

A Clinician's Guide to Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Patients

Inneke E De Laet  1 , Manu L N G Malbrain  2   3 , Jan J De Waele  4
Affiliations
Review

A Clinician's Guide to Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Patients

Inneke E De Laet et al. Crit Care. .

Erratum in

Abstract

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2020. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2020. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901.

PubMed Disclaimer

Conflict of interest statement

MLNGM is a member of the medical advisory Board of Pulsion Medical Systems (now fully integrated in Getinge, Solna, Sweden) and Serenno Medical (Tel Aviv, Israel), consults for Baxter, Maltron, ConvaTec, Acelity, Spiegelberg and Holtech Medical. None of the remaining authors have any potential conflict of interest related to the main topic of this article.

Figures

Fig. 1
Fig. 1
WSACS medical management algorithm as presented in the 2013 guidelines. IAH intra-abdominal hypertension, ACS abdominal compartment syndrome, IAP intra-abdominal pressure. Adapted from [8] under the terms of the Creative Commons Attribution Noncommercial License
Fig. 2
Fig. 2
The triangle perspective on the management of intra-abdominal hypertension/abdominal compartment syndrome (IAH/ACS) in the individual patient
Fig. 3
Fig. 3
Elements to be considered in decision-making for management of intra-abdominal hypertension (IAH). ACS abdominal compartment syndrome, IAP intra-abdominal pressure
See this image and copyright information in PMC

References

    1. Malbrain ML, Cheatham ML, Kirkpatrick A, et al. Results from the International conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. I. Definitions. Intensive Care Med. 2006;32:1722–1732. doi: 10.1007/s00134-006-0349-5. - DOI - PubMed
    1. Kron IL, Harman PK, Nolan SP. The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg. 1984;199:28–30. doi: 10.1097/00000658-198401000-00005. - DOI - PMC - PubMed
    1. Reintam Blaser A, Regli A, De Keulenaer B, et al. Incidence, risk factors, and outcomes of intra-abdominal hypertension in critically ill patients-a prospective multicenter study (IROI Study) Crit Care Med. 2019;47:535–542. doi: 10.1097/CCM.0000000000003623. - DOI - PMC - PubMed
    1. De Keulenaer B, Regli A, De Laet I, Roberts D, Malbrain ML. What’s new in medical management strategies for raised intra-abdominal pressure: evacuating intra-abdominal contents, improving abdominal wall compliance, pharmacotherapy, and continuous negative extraa-bdominal pressure. Anaesthesiol Intensive Ther. 2015;47:54–62. - PubMed
    1. De Waele JJ, Malbrain ML, Kirkpatrick AW. The abdominal compartment syndrome: evolving concepts and future directions. Crit Care. 2015;19:211. doi: 10.1186/s13054-015-0879-8. - DOI - PMC - PubMed

MeSH terms

LinkOut - more resources