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martes, 28 de febrero de 2017

Abdominal hypertension

PulmCrit
PulmCrit - February 27, 2017 - By Josh Farkas
"Summary: The Bullet
  • Intraabdominal hypertension is common among septic patients receiving large-volume resuscitation, but usually overlooked.
  • Intraabdominal hypertension may cause occult organ injury (especially kidney injury), even in the absence of frank abdominal compartment syndrome.
  • Diagnosing intraabdominal hypertension may identify patients at risk from further fluid administration. Such patients may benefit instead from volume removal.
  • Abdominal perfusion pressure is equal to the abdominal pressure subtracted from the MAP, analogous to cerebral perfusion pressure. Maintaining an abdominal perfusion pressure >60 mm might be beneficial.
  • The best approach to intraabdominal hypertension is prevention, by using a conservative fluid resuscitation strategy."