Article of interest: A Clinician’s Guide to Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Patients

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
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
From: Schlichting A, Schmidt GA. Abdominal Compartment Syndrome. In: Hall JB, Schmidt GA, Kress JP. eds. Principles of Critical Care, 4e. McGraw Hill; 2014. Accessed March 04, 2022.

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