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01.11.2006 | Expert Panel

Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions

verfasst von: Manu L. N. G. Malbrain, Michael L. Cheatham, Andrew Kirkpatrick, Michael Sugrue, Michael Parr, Jan De Waele, Zsolt Balogh, Ari Leppäniemi, Claudia Olvera, Rao Ivatury, Scott D’Amours, Julia Wendon, Ken Hillman, Kenth Johansson, Karel Kolkman, Alexander Wilmer

Erschienen in: Intensive Care Medicine | Ausgabe 11/2006

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Abstract

Objective

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been increasingly recognized in the critically ill over the past decade. The variety of definitions proposed has led to confusion and difficulty in comparing one study to another.

Design

An international consensus group of critical care specialists convened at the second World Congress on Abdominal Compartment Syndrome to standardize definitions for IAH and ACS based upon the current understanding of the pathophysiology surrounding these two syndromes.

Methods

Prior to the conference the authors developed a blueprint for the various definitions, which was further refined both during and after the conference. The present article serves as the final report of the 2004 International ACS Consensus Definitions Conference and is endorsed by the World Society of Abdominal Compartment Syndrome (WSACS).

Results

IAH is redefined as an intra-abdominal pressure (IAP) at or above 12 mmHg. ACS is redefined as an IAP above 20 mmHg with evidence of organ dysfunction/failure. ACS is further classified as either primary, secondary, or recurrent based upon the duration and cause of the IAH-induced organ failure. Standards for IAP monitoring are set forth to facilitate accuracy of IAP measurements from patient to patient.

Conclusions

State-of-the-art definitions for IAH and ACS are proposed based upon current medical evidence as well as expert opinion. The WSACS recommends that these definitions be used for future clinical and basic science research. Specific guidelines and recommendations for clinical management of patients with IAH/ACS are published in a separate review.

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Titel: Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions
verfasst von: Manu L. N. G. Malbrain
Michael L. Cheatham
Andrew Kirkpatrick
Michael Sugrue
Michael Parr
Jan De Waele
Zsolt Balogh
Ari Leppäniemi
Claudia Olvera
Rao Ivatury
Scott D’Amours
Julia Wendon
Ken Hillman
Kenth Johansson
Karel Kolkman
Alexander Wilmer
Publikationsdatum: 01.11.2006
Verlag: Springer-Verlag
Erschienen in: Intensive Care Medicine / Ausgabe 11/2006
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-006-0349-5

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Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

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Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions

Abstract

Objective

Design

Methods

Results

Conclusions

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Mehr Frauen im OP – weniger postoperative Komplikationen

Delir bei kritisch Kranken – Antipsychotika versus Placebo

Eingreifen von Umstehenden rettet vor Erstickungstod

Darf man die Behandlung eines Neonazis ablehnen?

Update AINS

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Objective

Design

Methods

Results

Conclusions

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Eingreifen von Umstehenden rettet vor Erstickungstod

Darf man die Behandlung eines Neonazis ablehnen?

Update AINS