Intensive Care Medicine

, Volume 30, Issue 3, pp 357–371

Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal

Review

DOI: 10.1007/s00134-003-2107-2

Cite this article as:
Malbrain, M.L.N.G. Intensive Care Med (2004) 30: 357. doi:10.1007/s00134-003-2107-2

Abstract

The diagnosis of intra-abdominal hypertension (IAH) or abdominal compartment syndrome (ACS) is heavily dependant on the reproducibility of the intra-abdominal pressure (IAP) measurement technique. Recent studies have shown that a clinical estimation of IAP by abdominal girth or by examiner’s feel of the tenseness of the abdomen is far from accurate, with a sensitivity of around 40%. Consequently, the IAP needs to be measured with a more accurate, reproducible and reliable tool. The role of the intra-vesical pressure (IVP) as the gold standard for IAP has become a matter of debate. This review will focus on the previously described indirect IAP measurement techniques and will suggest new revised methods of IVP measurement less prone to error. Cost-effective manometry screening techniques will be discussed, as well as some options for the future with microchip transducers.

Keywords

Intra-abdominal pressureIntra-abdominal hypertensionAbdominal compartment syndromeIntra-vesical pressure

Supplementary material

supp.pdf (1.7 mb)
Supplementary material (PDF 1.7 MB)

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.Medical Intensive Care UnitACZA Campus StuivenbergAntwerpenBelgium