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Recognition and management of intra-abdominal hypertension and abdominal compartment syndrome in Australasia

Objective

To determine ICU awareness regarding measurement of intra-abdominal pressure (IAP), features of intra-abdominal hypertension (IAH), and management of abdominal compartment syndrome (ACS).

Methods

The survey explored experience, measurement methods and understanding of IAP, causes of IAH and management of ACS.

Results

Ninety-two percent of the ICU Registrars used IAP but 52% only infrequently. While 90% understood that IAP can cause rises in intraperitoneal pathology, retroperitoneal causation of IAH was poorly understood. Ninety-two percent correctly said that ACS should be treated by abdominal decompression. Only 70% of our respondents would not perform CT of the abdomen predecompression. Thirty-three percent erroneously said that they would treat IAP >30 mmHg regardless of organ dysfunction and another 22% were unsure of the threshold of therapy for ACS.

Conclusion

Australasian Fellows appreciate IAP measurements and manage ACS appropriately. Retroperitoneal causes of IAH and the threshold for treatment for ACS were poorly understood.

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Nagappan, R., Ernest, D. & Whitfield, A. Recognition and management of intra-abdominal hypertension and abdominal compartment syndrome in Australasia. Crit Care 10, P299 (2006). https://doi.org/10.1186/cc4646

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Keywords

  • Public Health
  • Hypertension
  • Emergency Medicine
  • Measurement Method
  • Organ Dysfunction