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Indications for Intra-abdominal Pressure monitoring

  • Postoperative patients (abdominal surgery)
  • Patients with open or blunt abdominal trauma
  • Mechanically ventilated ICU Patients with other organ dysfunction as assessed by daily Sequential Organ Failure Assessment (SOFA) score
  • Patients with a distended abdomen and signs and symptoms consistent with abdominal compartment syndrome (ACS) e.g.:

    Oliguria, Hypoxia, Hypotension, Unexplained acidosis, Mesenteric ischemia, Elevated ICP
  • Patients with abdominal packing after temporary abdominal closure for multiple trauma or liver transplantation
  • Patients with open abdomen, especially if they have an IV bag closure and are in the early postoperative period, may still develop ACS
  • Patients who have not had an operation but have received large volumes of fluid resuscitation in the context of an underlying capillary leak problem (pancreatitis, septic shock, trauma, etc.)

Ref.: World Society of the Abdominal Compartment Syndrome Preliminary

Consensus Definitions on Intra-Abdominal Hypertension (IAH) and Abdominal Compartment Syndrome (ACS): Result from the International ACS Consensus Definitions Conference.

 

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