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Intra-abdominal Measurement Techniques: Is There Anything New?

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Intra-abdominal pressure (IAP) measurements are essential to the diagnosis and management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome. A variety of IAP measurement techniques have been described. The intravesicular or “bladder” technique remains the gold standard. This commentary reviews each of the different techniques for IAP measurement and discusses their clinical application. It also explores how IAP is affected by changes in body position, body mass index, and positive end-expiratory pressure (PEEP). IAP should be measured every 4 to 6 hours in patients with risk factors for IAH. Putting patients in the semirecumbent position changes the IAP measurement significantly. The role of prone positioning in unstable patients with IAH remains unclear. PEEP has a small effect on IAP.

Document Type: Research Article

Affiliations: 1: Fremantle Hospital, Intensive Care, Fremantle, Western Australia, Australia 2: Ziekenhuis Netwerk Antwerpen, ZNA, Stuivenberg, Intensive Care Unit, Antwerpen, Belgium

Publication date: July 1, 2011

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  • The Southeastern Surgical Congress owns and publishes The American Surgeon monthly. It is the official journal of the Congress and the Southern California Chapter of the American College of Surgeons, which all members receive each month. The journal brings up to date clinical advances in surgical knowledge in a popular reference format. In addition to publishing papers presented at the annual meetings of the associated organizations, the journal publishes selected unsolicited manuscripts. If you have a manuscript you'd like to see published in The American Surgeon select "Information for Authors" from the Related Information options below. A Copyright Release Form must accompany all manuscripts submitted.
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