Intra-Abdominal Hypertension

Practical clinical handbook reviewing all aspects of the diagnosis and management of intra-abdominal hypertension; essential reading for all critical care staff.

Manu Malbrain (Author), Jan De Waele (Author)

9780521149396, Cambridge University Press

Paperback, published 15 August 2013

253 pages, 59 b/w illus.
18.6 x 12.2 x 1.3 cm, 0.29 kg

Despite increasing interest in intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) as causes of significant morbidity and mortality among the critically ill, unanswered questions cloud the understanding of the pathophysiology of these conditions: • Are IAH and ACS synonymous? • What are the ideal methods of measuring and lowering intra-abdominal pressure (IAP)? • When should we think of IAH? • Can IAH be prevented? • What level of IAP requires abdominal decompression? Written by two experts in critical care and IAP, Intra-Abdominal Hypertension is a distillation of the current literature and furthers the understanding of these complex critical conditions. Using a step-by-step approach and illustrative figures, this clinical handbook presents a concise overview of consensus definitions, measurement methods, organ assessment and treatment options. Intra-Abdominal Hypertension is essential reading for all members of the intensive care multidisciplinary team, including experienced and junior physicians, anesthetists and nurses.

List of abbreviations
Part I. Understanding Intra-Abdominal Hypertension: What to Worry About?: 1. What is intra-abdominal pressure?
2. Definitions
3. Principles of IAP measurement
4. Systems available to measure IAP
5. Pitfalls of IAP monitoring
Part II. Underlying Predisposing Conditions: When to Worry?: 6. Decreased abdominal compliance
7. Increased abdominal content
8. Capillary leak and fluid resuscitation
Part III. Specific Conditions: When to Worry More?: 9. Pancreatitis
10. Children
11. Trauma
12. Burns
13. Obesity
14. Pregnancy and others
Part IV. Consequences of Intra-Abdominal Hypertension: Why to Worry?: 15. Cardiovascular system and IAH
16. Respiratory system and IAH
17. Renal system and IAH
18. Central nervous system and IAH
19. Other organs and IAH
20. How to define gastrointestinal failure?
21. Polycompartment syndromes
Part V. Treatment: 22. Improvement of abdominal wall compliance
23. Evacuation of intra-luminal contents
24. Evacuations of abdominal fluid collections
25. Correction of capillary leaks and fluid balance
26. Specific treatments for intra-abdominal hypertension and abdominal compartment syndrome
27. Surgical treatment
28. Open abdomen management and temporary abdominal closure
Part VI. The Future: 29. The future of IAH and ACS
Index.

Subject Areas: Anaesthetics [MMB]