open access

Vol 49, No 2 (2017)
Review articles
Published online: 2017-05-17
Submitted: 2017-03-06
Accepted: 2017-05-01
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Abdominal pressure and gastrointestinal function: an inseparable couple?

Annika Reintam Blaser, Manu L.N.G. Malbrain, Adrian Regli
DOI: 10.5603/AIT.a2017.0026
·
Anaesthesiol Intensive Ther 2017;49(2):146-158.

open access

Vol 49, No 2 (2017)
Review articles
Published online: 2017-05-17
Submitted: 2017-03-06
Accepted: 2017-05-01

Abstract

Evaluating the degree of organ dysfunction is a cornerstone in distinguishing patients with critical illness from those without. However, evaluation of the gastrointestinal function in critically ill patients is not unified, and is still largely based on subjective clinical evaluation. Although intra-abdominal pressure has been proposed as a parameter to facilitate monitoring of abdominal compartment in critical illness, the interactions between intra-abdominal pressure and gastrointestinal function are poorly clarified. The aim of this current review is to describe interactions and associations between gastrointestinal dysfunction and intra-abdominal pressure from a pathophysiological and clinical point of view.

Abstract

Evaluating the degree of organ dysfunction is a cornerstone in distinguishing patients with critical illness from those without. However, evaluation of the gastrointestinal function in critically ill patients is not unified, and is still largely based on subjective clinical evaluation. Although intra-abdominal pressure has been proposed as a parameter to facilitate monitoring of abdominal compartment in critical illness, the interactions between intra-abdominal pressure and gastrointestinal function are poorly clarified. The aim of this current review is to describe interactions and associations between gastrointestinal dysfunction and intra-abdominal pressure from a pathophysiological and clinical point of view.

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Keywords

intra-abdominal hypertension, gastrointestinal function; gastrointestinal failure, acute gastrointestinal injury; critical illness; microbiome

About this article
Title

Abdominal pressure and gastrointestinal function: an inseparable couple?

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 49, No 2 (2017)

Pages

146-158

Published online

2017-05-17

DOI

10.5603/AIT.a2017.0026

Bibliographic record

Anaesthesiol Intensive Ther 2017;49(2):146-158.

Keywords

intra-abdominal hypertension
gastrointestinal function
gastrointestinal failure
acute gastrointestinal injury
critical illness
microbiome

Authors

Annika Reintam Blaser
Manu L.N.G. Malbrain
Adrian Regli

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