Thread by @Manu_Malbrain

There are many advantages of continuous IAP measurement as listed in infographic #ISICEM19

Start measuring IAP (abdominal pressure) in ICU patients when there are 2 or more risk factors related to
-increased intra-luminal contents
-increased intra-abdominal contents
-decreased compliance
-fluid overload and capillary leak

#ISICEM19

Some causes of increased intra-luminal contents resulting in abdominal hypertension #ISICEM19

Some causes of increased intra-abdominal contents resulting in abdominal hypertension #ISICEM19

Some causes and riskfactors related to capillary leak and fluid resuscitation resulting in abdominal hypertension #ISICEM19

Decreased abdominal compliance is a risk factor for abdominal hypertension and can be divided into
-antropomorphic alterations
-related to abdominal wall
-related to diaphragm
-related to noncompressible abdominal volume
#ISICEM19
#FOAMed
#FOAMcc

Increased waist-to-hip ratio (metabolic syndrome and central obesity) and other antropomorphic characteristics are associated with abdominal hypertension
#ISICEM19

Increased sagittal abdominal diameter and the curved line between xiphoid and symphysis are associated with abdominal hypertension #ISICEM19

Dimished abdominal compliance caused by presence of noncompressible intra-abdominal volume #ISICEM19

Dimished abdominal compliance caused by diaphragm alterations that may be resulting in intra-abdominal hypertension #ISICEM19

Dimished abdominal compliance caused by abdominal wall alterations that may be resulting in intra-abdominal hypertension #ISICEM19

Remember: a sick-pack carries poor Cab and riosk for high IAP

#IFAD2019 #WCACS2019