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Intraabdominal hypertension and abdominal compartment syndrome in the intensive care unit


1,Department of Anesthesiology and Intensive Care Unit University Hospital Center Zagreb

DOI: 10.22514/SV11.102006.2 Vol.1,Issue 1,October 2006 pp.13-15

Published: 08 October 2006

*Corresponding Author(s): DANIELA BANDIĆ PAVLOVIĆ E-mail:


Intraabdominal hypertension can induce a significant dysfunction of cardiovascular, respiratory, renal, and gastrointestinal and central nervous systems. Recently, a prospective multicenter epidemiological study concluded that the intraabdominal hypertension observed in intensive care units was associated with an increased risk of mortality in critically ill patients. In this review, we summarize current literature data concerning definitions and measurement of intraabdominal pressure and discuss the importance of intraabdominal hypertension in critically ill patients. We conclude that intraabdominal pressure should be taken into consideration along with other standard pressure measurements in critically ill patients.   


intraabdominal pressure, intraabdominal hypertension, abdominal compartment syndrome Introduction  

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DANIELA BANDIĆ PAVLOVIĆ,VIŠNJA MAJERIĆ KOGLER. Intraabdominal hypertension and abdominal compartment syndrome in the intensive care unit. Signa Vitae. 2006. 1(1);13-15.


1. Moffa SM, Quinn JV, Slotman GJ. Haemodynamic effects of carbon dioxide pneumoperitoneum during mechanical ventilation and positive end-expiratory pressure. J Trauma 1993;35:613-7.

2. Malbrain ML, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri M, Del Turco M, Wilmer A, Brienza N, Malcangi V, Cohen J, Japiassu A, De Keulenaer BL, Daelemans R, Jacquet L, Laterre PF, Frank G, Souza P, Cesana B, Gattinoni L. Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: A multiple-center epidemiological study. Crit Care Med 2005;33:315-22.

3. Kron IL, Harman PK, Nolan AP. The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg 1984;199:28-30.

4. Wiedergren JT, Battistella FD. The open abdomen treatment for intraabdominal compartment syndrome. J Trauma 1994;37:158.

5. Ivatury RR, Sugerman HJ. Abdominal compartment syndrome: a century later, isn’t it time to pay attention? Crit Care Med 2000;28:2137-8.

6. Sugrue M, Jones F, Lee A, Buist MD, Deane S, Bauman A, Hillman K. Intra-abdominal pressure and gastric intramucosal pH: is there an association? World J Surg 1996;20:988-91.

7. Burch JM, Moore EE, Moore FA, Franciose R. The abdominal compartment syndrome. Surg Clin North Am 1996;76:833-42.

8. Sugrue M. Abdominal compartment syndrome. Curr Opinion in Critical Care 2005;11:333-8.

9. McNelis J, Marini CP, Simms HH. Abdominal compartment syndrome: clinical manifestations and predictive factors. Curr Opin Critical Care 2003;9:133-6.

10. Polat c, Aktepe OC, Akbulut G, et al. The effects of increased intraabdominal pressure on bacterial translocation. Yonsei Med J 2003;44:259-64.

11. Diebel LN, Dulchavsky SA, Brown WJ. Splanchnic ischemia and bacterial translocation in the abdominal compartment syndrome. J Trauma 1997;43:852-5.

12. Rouby JJ, Puybasset L, Nieszkowska A, Lu Q. Acute respiratory distress syndrome: lessons from computed tomography of the whole lung. Crit Care Med 2003;31 (suppl):S285-S295.

13. Pelosi P, D’Onofrio D, Chiumello D, Paolo S, Chiara G, Capelozzi VL, Barbas CS, Chiaranda M, Gattinoni L. Pulmonary and extrapulmonary acute respiratory distress syndrome are different. Eur Respir J Suppl 2003;42:48s-56s.

14. Oda J, Ivatury RR, Blocher CR, Malhotra AJ, Sugerman HJ. Amplified cytokine response and lung injury by sequential hemorrhagic shock and abdominal compartment syndrome in a laboratory model of ischemia-reperfusion. J Trauma 2002;52(4):625-32.

15. Morken J, West MA. Abdominal compartment syndrome in the intensive care unit. Curr Opin Crit Care 2001;7:268-74.

16. Cullen DJ, Coyle JP, Teplick R, Long MC. Cardiovascular, pulmonary and renal effects of massively increased intra-abdominal pressure in critically ill patients. Crit Care Med 1989;17:118-21.

17. Richardson JD, Trinkle JK. Haemodynamic and respiratory alterations with increased intra-abdominal pressure. J Surg Res 1976;20:401-4.

18. Deeren D, Dits H, Malbrain ML. Corellation between intra-abdominal and intracranial pressure in nontraumatic brain injury. Intensive Care Med 2005;31:1577-81.

19. Schachtrupp A, Graf J, Tons C, Hoer J, Fackeldey V, Schumpelick V. Intravascular volume depletion in a 24-hour porcine model of intraabdominal hypertension. J Trauma 2003;55:734-40.

20. Cheatham ML, Nelson LD, Chang MC, Safcsak K. Right ventricular end-diastolic volume index as a predictor of preload status in patients on positive end-expiratory pressure. Crit Care Med 1998;26:1801-6.

21. Ivatury RR, Porter JM, Simon RJ, Islam S, John R, Stahl WM. Intra-abdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence, and clinicawl relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma 1998;44:1016-23.

22. McNelis J, Marini CP, Jurkiewicz A, Fields S, Caplin D, Stein D, Ritter G, Nathan I, Simms HH. Predictive factors associated with the development of abdominal compartment syndrome in the surgical intensive care unit. Arch Surg 2002;137:133-6.

23. Meldrum DR, Moore FA, Moore EE, Franciose RJ, Sauaia A, Burch JM. Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg 1997;174:667-72; discussion 672-3.

24. Schachtrupp A, Fackeldey V, Klinge U, Hoer J, Tittel A, Toens C, Schumpelick V. Temporary closure of the abdominal wall (laparostomy). Hernia 2002;6:155-62.

25. Chang MC, Miller PR, D’Agostino R Jr, Meredith JW. Effects of abdominal decompression on cardiopulmonary function and visceral perfusion in patients with intra-abdominal hypertension. J Trauma 1998;44(3):440-5.

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