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Intra-abdominal hypertension /

Practical clinical handbook reviewing all aspects of the diagnosis and management of intra-abdominal hypertension; essential reading for all critical care staff.

Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Malbrain, Manu, 1965-
Otros Autores: Waele, Jan de
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Cambridge : Cambridge University Press, 2013.
Colección:Core critical care.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Cover; Contents; Contributors; Abbreviations; Foreword; Section 1 Understanding intra-abdominal hypertension: what to worry about?; Chapter 1 What is intra-abdominal pressure?; Introduction; (Very) brief history of IAP; The abdominal wall; Basics of fluid physics
  • all about pressure; The relation between IAP and IAV
  • compliance and elastance; Key points; Further reading; Chapter 2 Definitions; Introduction; Background; Definitions; Definition 1
  • IAP; Definition 2
  • abdominal perfusion pressure (APP); Definition 3
  • filtration gradient (FG).
  • Definition 4
  • units of measurements and referenceDefinition 5
  • reference standard; Definition 6
  • normal IAP; Definition 7
  • IAH; Definition 8
  • IAH grades; Definition 9
  • ACS; Definition 10
  • primary ACS; Definition 11
  • secondary ACS; Definition 12
  • recurrent ACS; The future of the definitions; Key points; Further reading; Chapter 3 Principles of IAP management; Measure IAP at the end of expiration; IAP is (usually) measured in the bladder; IAP can be measured through routes other than the bladder; IAP can be measured with fluid-filled or air-filled systems.
  • IAP should be measured against a reference levelInstillation of fluid in the bladder is required; The temperature of the instillation fluid should be controlled; The patient's body position is important; Supine versus semi-recumbent position; Prone position; Other positions; The effect of positive end expiratory pressure (PEEP) on IAP; Key points; Further reading; Chapter 4 Systems available to measure IAP; Introduction; Clinical estimation of IAP; Measurement of IAP is safe; Measurement of IAP is reproducible; Routes for IAP measurements; Transvesicular route; Transgastric route.
  • Alternative routesModalities of IAP measurements; Available methods for IAP measurement; Intermittent IAP measurement; Transvesicular: FoleyManometerTM or Uno-Meter Abdo-PressureTM; Transvesicular: Harahill method; Transvesicular: AbViserTM IAP Monitoring Kit; Transvesicular: Bard IAP® Monitoring Device; Transvesicular: Biometrix; Transvesicular: PreOx IAP Adapter; Transgastric: gastric tube or Collee method; Transgastric: gastric balloon method; Continuous IAP measurement; Continuous transvesicular IAP measurement; Continuous IAP monitoring
  • CiMON (Pulsion Medical Systems).
  • The IAP-Catheter and IAP-Monitor (Spiegelberg)Key points; Further reading; Chapter 5 Pitfalls of IAP monitoring; Introduction; The pitfalls; Pitfalls related to the patient; Positioning of the patient; The awake patient; Intra-abdominal space-occupying lesions; Obesity; Children; Pitfalls related to the measurement technique; Zero reference level; Gastric route; Infusion volume; Infusion temperature; Frequency of IAP measurement; Pitfall specific to the kit used; Pitfalls related to the interpretation of data; Key points; Further reading.