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Elevated intra-abdominal pressure: A review of current knowledge

Elevated intra-abdominal pressure (IAP) is a known cause of increased morbidity and mortality among critically ill patients. Intra-abdominal hypertension (IAH) and abdominal compartment syndrome can lead to rapid deterioration of organ function and the development of multiple organ failure. Raised I...

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Autores principales: Łagosz, Piotr, Sokolski, Mateusz, Biegus, Jan, Tycinska, Agnieszka, Zymlinski, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082714/
https://www.ncbi.nlm.nih.gov/pubmed/35647129
http://dx.doi.org/10.12998/wjcc.v10.i10.3005
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author Łagosz, Piotr
Sokolski, Mateusz
Biegus, Jan
Tycinska, Agnieszka
Zymlinski, Robert
author_facet Łagosz, Piotr
Sokolski, Mateusz
Biegus, Jan
Tycinska, Agnieszka
Zymlinski, Robert
author_sort Łagosz, Piotr
collection PubMed
description Elevated intra-abdominal pressure (IAP) is a known cause of increased morbidity and mortality among critically ill patients. Intra-abdominal hypertension (IAH) and abdominal compartment syndrome can lead to rapid deterioration of organ function and the development of multiple organ failure. Raised IAP affects every system and main organ in the human body. Even marginally sustained IAH results in malperfusion and may disrupt the process of recovery. Yet, despite being so common, this potentially lethal condition often goes unnoticed. In 2004, the World Society of the Abdominal Compartment Syndrome, an international multidisciplinary consensus group, was formed to provide unified definitions, improve understanding and promote research in this field. Simple, reliable and nearly costless standardized methods of non-invasive measurement and monitoring of bladder pressure allow early recognition of IAH and timely optimized management. The correct, structured approach to treatment can have a striking effect and fully restore homeostasis. In recent years, significant progress has been made in this area with the contribution of surgeons, internal medicine specialists and anesthesiologists. Our review focuses on recent advances in order to present the complex underlying pathophysiology and guidelines concerning diagnosis, monitoring and treatment of this life-threatening condition.
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spelling pubmed-90827142022-05-27 Elevated intra-abdominal pressure: A review of current knowledge Łagosz, Piotr Sokolski, Mateusz Biegus, Jan Tycinska, Agnieszka Zymlinski, Robert World J Clin Cases Minireviews Elevated intra-abdominal pressure (IAP) is a known cause of increased morbidity and mortality among critically ill patients. Intra-abdominal hypertension (IAH) and abdominal compartment syndrome can lead to rapid deterioration of organ function and the development of multiple organ failure. Raised IAP affects every system and main organ in the human body. Even marginally sustained IAH results in malperfusion and may disrupt the process of recovery. Yet, despite being so common, this potentially lethal condition often goes unnoticed. In 2004, the World Society of the Abdominal Compartment Syndrome, an international multidisciplinary consensus group, was formed to provide unified definitions, improve understanding and promote research in this field. Simple, reliable and nearly costless standardized methods of non-invasive measurement and monitoring of bladder pressure allow early recognition of IAH and timely optimized management. The correct, structured approach to treatment can have a striking effect and fully restore homeostasis. In recent years, significant progress has been made in this area with the contribution of surgeons, internal medicine specialists and anesthesiologists. Our review focuses on recent advances in order to present the complex underlying pathophysiology and guidelines concerning diagnosis, monitoring and treatment of this life-threatening condition. Baishideng Publishing Group Inc 2022-04-06 2022-04-06 /pmc/articles/PMC9082714/ /pubmed/35647129 http://dx.doi.org/10.12998/wjcc.v10.i10.3005 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Minireviews
Łagosz, Piotr
Sokolski, Mateusz
Biegus, Jan
Tycinska, Agnieszka
Zymlinski, Robert
Elevated intra-abdominal pressure: A review of current knowledge
title Elevated intra-abdominal pressure: A review of current knowledge
title_full Elevated intra-abdominal pressure: A review of current knowledge
title_fullStr Elevated intra-abdominal pressure: A review of current knowledge
title_full_unstemmed Elevated intra-abdominal pressure: A review of current knowledge
title_short Elevated intra-abdominal pressure: A review of current knowledge
title_sort elevated intra-abdominal pressure: a review of current knowledge
topic Minireviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082714/
https://www.ncbi.nlm.nih.gov/pubmed/35647129
http://dx.doi.org/10.12998/wjcc.v10.i10.3005
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