- Poster presentation
- Open Access
Recognition and management of intra-abdominal hypertension and abdominal compartment syndrome in Australasia
© BioMed Central Ltd 2006
- Published: 21 March 2006
- Public Health
- Emergency Medicine
- Measurement Method
- Organ Dysfunction
To determine ICU awareness regarding measurement of intra-abdominal pressure (IAP), features of intra-abdominal hypertension (IAH), and management of abdominal compartment syndrome (ACS).
The survey explored experience, measurement methods and understanding of IAP, causes of IAH and management of ACS.
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.
IAP is measured by instilling 50 ml saline into the Foley catheter and then transducing the pressure
IAP rises due to intraperitoneal pathology
IAP rises due to retroperitoneal pathology
IAH is an epiphenomenon and not a phenomenon
IAH + organ dysfunction defines ACS
ACS should be treated regardless of the IAP
ACS is an epiphenomenon and not a phenomenon
ACS should be treated only if there is lactic acidosis
Before treating ACS, a contrast-enhanced CT scan of the abdomen should always be done