De Laet IE, et al. A Clinician’s Guide to Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Patients. Crit Care. 2020 Mar 24;24(1):97.
| Nonsurgical Therapeutic Options for Treatment of Intra-abdominal Hypertension and Abdominal Compartment Syndrome |
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| Improve abdominal wall compliance Remove abdominal binders Adequate analgesia and sedation Neuromuscular blockade Reduce elevation of head of bed to <30° |
| Evacuate intraluminal contents Gastric decompression Colonic decompression Promotility agents |
| Evacuate abdominal fluid collections Paracentesis Percutaneous drainage |
| Correct positive fluid balance Avoid excessive volume resuscitation Diuretic administration Renal replacement therapy with ultrafiltration |
| Other organ support Goal-directed volume resuscitation Low-tidal-volume mechanical ventilation |
Surgical Focus 