Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: ‘Progression towards the minimum’: the importance of standardizing the priming volume during the indirect measurement of intra-abdominal pressures. | Available online http content 10 4 153 Commentary Progression towards the minimum the importance of standardizing the priming volume during the indirect measurement of intra-abdominal pressures Chad G Ball1 and Andrew W Kirkpatrick1 2 1 Department of Surgery Foothills Medical Center University of Calgary Alberta Canada 2Department of Critical Care Medicine Foothills Medical Center University of Calgary Alberta Canada Corresponding author Andrew W Kirkpatrick Published 28 July 2006 This article is online at http content 10 4 153 2006 BioMed Central Ltd Critical Care 2006 10 153 doi cc4987 See related research by Malbrain and Deeren http content 10 3 R98 Abstract The abdominal compartment syndrome is a state of serious organ dysfunction. The syndrome results from sustained intra-abdominal hypertension which is indirectly identified by measuring intrabladder pressures IBPs using various priming volumes. This technique is poorly standardized across published data. Malbrain and Deeren have identified the risk of falsely elevated IBPs with instillation priming volumes greater than 50 ml. This overestimation appears to increase with larger priming aliquots. As a result erroneous IBP measurements may incorrectly label a patient with the abdominal compartment syndrome and therefore subject them to the potential complications of surgical and or medical decompression techniques. The utility and benefit of using continuous IBP monitoring is discussed. These data require confirmation in other patient subgroups with younger ages altered body mass indices and varied diagnoses. The abdominal compartment syndrome is a state of serious organ dysfunction resulting from sustained intra-abdominal hypertension IAH . The syndrome affects all organ systems. While the abdominal compartment syndrome is the most obvious manifestation of IAH lesser degrees of hypertension are now being implicated as .
