open access

Vol 47, No 3 (2015)
Review articles
Published online: 2015-05-07
Submitted: 2015-04-06
Accepted: 2015-05-07
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A user’s guide to intra-abdominal pressure measurement

Michael Sugrue, Jan J. De Waele, Bart L. De Keulenaer, Derek J. Roberts, Manu L.N.G. Malbrain
DOI: 10.5603/AIT.a2015.0025
·
Anaesthesiol Intensive Ther 2015;47(3):241-251.

open access

Vol 47, No 3 (2015)
Review articles
Published online: 2015-05-07
Submitted: 2015-04-06
Accepted: 2015-05-07

Abstract

The intra-abdominal pressure (IAP) measurement is a key to diagnosing and managing critically ill medical and surgical patients. There are an increasing number of techniques that allow us to measure the IAP at the bedside. This paper reviews these techniques. IAP should be measured at end-expiration, with the patient in the supine position and ensuring that there is no abdominal muscle activity. The intravesicular IAP measurement is convenient and considered the gold standard. The level where the mid-axillary line crosses the iliac crest is the recommended zero reference for the transvesicular IAP measurement; moreover, marking this level on the patient increases reproducibility. Protocols for IAP measurement should be developed for each ICU based on the locally available tools and equipment. IAP measurement techniques are safe, reproducible and accurate and do not increase the risk of urinary tract infection. Continuous IAP measurement may offer benefits in specific situations in the future. In conclusion, the IAP measurement is a reliable and essential adjunct to the management of patients at risk of intra-abdominal hypertension.

Abstract

The intra-abdominal pressure (IAP) measurement is a key to diagnosing and managing critically ill medical and surgical patients. There are an increasing number of techniques that allow us to measure the IAP at the bedside. This paper reviews these techniques. IAP should be measured at end-expiration, with the patient in the supine position and ensuring that there is no abdominal muscle activity. The intravesicular IAP measurement is convenient and considered the gold standard. The level where the mid-axillary line crosses the iliac crest is the recommended zero reference for the transvesicular IAP measurement; moreover, marking this level on the patient increases reproducibility. Protocols for IAP measurement should be developed for each ICU based on the locally available tools and equipment. IAP measurement techniques are safe, reproducible and accurate and do not increase the risk of urinary tract infection. Continuous IAP measurement may offer benefits in specific situations in the future. In conclusion, the IAP measurement is a reliable and essential adjunct to the management of patients at risk of intra-abdominal hypertension.

Get Citation

Keywords

intra-abdominal pressure, measurement, bladder pressure, intravesicular pressure, gastric pressure, rectal pressure, femoral venous pressure, continuous, abdominal perfusion pressure

About this article
Title

A user’s guide to intra-abdominal pressure measurement

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 47, No 3 (2015)

Pages

241-251

Published online

2015-05-07

DOI

10.5603/AIT.a2015.0025

Bibliographic record

Anaesthesiol Intensive Ther 2015;47(3):241-251.

Keywords

intra-abdominal pressure
measurement
bladder pressure
intravesicular pressure
gastric pressure
rectal pressure
femoral venous pressure
continuous
abdominal perfusion pressure

Authors

Michael Sugrue
Jan J. De Waele
Bart L. De Keulenaer
Derek J. Roberts
Manu L.N.G. Malbrain

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