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Intra-Abdominal Hypertension and MODS

  • Jan J. De WaeleEmail author
  • Inneke De laet
Chapter
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Abstract

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been rediscovered in the last decades, and appear to frequently complicate severe sepsis and septic shock. IAH affects all organ systems and contributes to the development of MODS. Intra-abdominal pressure measurement is therefore mandatory as IAP should be incorporated in the clinical management of hemodynamics and respiration, and used as a therapeutic target. Comprehensive management of IAH in the critically ill patient is based on recognition of the problem, prevention where possible, and medical and surgical treatment when indicated. In this review, we will give an overview of the current understanding of IAH and ACS in general, and explore how it is relevant for severe sepsis patients and their treatment.

Keywords

Septic Shock Severe Sepsis Abdominal Compartment Syndrome Pulse Pressure Variation Stroke Volume Variation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Critical Care MedicineGhent University HospitalGhentBelgium
  2. 2.ICUZiekenhuisNetwerk AntwerpenAntwerpBelgium

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