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Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations |
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| Authors: | Michael L. Cheatham Manu L. N. G. Malbrain Andrew Kirkpatrick Michael Sugrue Michael Parr Jan De Waele Zsolt Balogh Ari Leppäniemi Claudia Olvera Rao Ivatury Scott D’Amours Julia Wendon Ken Hillman Alexander Wilmer |
| Affiliation: | (1) Department of Surgical Education, Orlando Regional Medical Center, 86 West Underwood, 32806 Orlando, FL, USA;(2) Intensive Care Unit, Ziekenhuis Netwerk Antwerpen, Campus Stuivenberg, Lange Beeldekensstraat 267, 2060 Antwerpen 6, Belgium;(3) Intensive Care Unit, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium;(4) Departments of Critical Care Medicine and Surgery, Foothills Medical Centre, 29 St. NW, 1403 Calgary AB, T2N 2T9, Canada;(5) Department of Trauma, Liverpool Hospital, University of New South Wales, Sydney, NSW, Australia;(6) Intensive Care Unit, Liverpool Hospital, University of New South Wales, Sydney, NSW, Australia;(7) Surgical Intensive Care Unit, Intensieve Zorgen 1K12-C, Universitair Ziekenhuis Gent, De Pintelaan 185, 9000 Gent, Belgium;(8) Department of Trauma, Division of Surgery, University of Newcastle, 2310 Newcastle, NSW, Australia;(9) Department of Emergency Surgery, Meilahti Hospital, Haartmaninkatu, Finland;(10) Intensive Care Unit, American British Cowdray Medical Center, Mexico City, Mexico;(11) Department of Surgery, Trauma and Critical Care, Virginia Commonwealth University Medical Center, Richmond, Va., USA;(12) Intensive Care Unit, King’s College Hospital, London, UK |
| Abstract: | Objective Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been increasingly recognized in the critically ill over the past decade. In the absence of consensus definitions and treatment guidelines the diagnosis and management of IAH and ACS remains variable from institution to institution. Design An international consensus group of multidisciplinary critical care specialists convened at the second World Congress on Abdominal Compartment Syndrome to develop practice guidelines for the diagnosis, management, and prevention of IAH and ACS. Methods Prior to the conference the authors developed a blueprint for consensus definitions and treatment guidelines which were refined both during and after the conference. The present article is the second installment of the final report from the 2004 International ACS Consensus Definitions Conference and is endorsed by the World Society of the Abdominal Compartment Syndrome. Results The prevalence and etiological factors for IAH and ACS are reviewed. Evidence-based medicine treatment guidelines are presented to facilitate the diagnosis and management of IAH and ACS. Recommendations to guide future studies are proposed. Conclusions These definitions, guidelines, and recommendations, based upon current best evidence and expert opinion are proposed to assist clinicians in the management of IAH and ACS as well as serve as a reference for future clinical and basic science research. |
| Keywords: | Abdominal pressure Abdominal hypertension Abdominal compartment syndrome Diagnosis Management Prevention Guidelines |
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