Добавил:
kiopkiopkiop18@yandex.ru t.me/Prokururor I Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Ординатура / Хирургия / @xirurgi_2025 / @xirurgi_2025 - 1159 - файл.pdf
Скачиваний:
0
Добавлен:
29.08.2026
Размер:
5 Мб
Скачать
Intra-Abdominal Hypertension
CORE CRITICAL CARE
Series Editor
Dr Alain Vuylsteke
Papworth Hospital
Cambridge, UK
Assistant Editor
Papworth Hospital
Cambridge, UK
Other titles in the series
Delirium in Critical Care
Valerie Page and E. Wesley Ely
ISBN 9780521132534
Forthcoming titles in the series
Clinical Information Systems in Critical Care
Cecily Morrison, Matthew R. Jones and Julie Bracken
ISBN 9780521156745
Renal Replacement Therapy in Critical Care
Patrick Honoré and Oliver Joannes-Boyau
ISBN 9780521145404
Intra-Abdominal Hypertension
MANU MALBRAIN, MD, PHD
Ziekenhuis Netwerk Antwerpen (ZNA) Stuivenberg, Antwerp.
He is an ESICM Chris Stoutenbeek Award winner and the
Founding President of The World Society of the Abdominal
Senior Lecturer at Ghent University and intensivist
Director of ICU and High Care Burn Unit,
Compartment Syndrome (WSACS).
JAN DE WAELE, MD, PHD
at Ghent University Hospital, Ghent.
He is President of the WSACS (2013–2015).
University Printing House, Cambridge CB2 8BS, United Kingdom
Cambridge University Press is part of the University of Cambridge.
It furthers the Universitys mission by disseminating knowledge in the pursuit of education, learning, and research at the highest international levels of excellence.
www.cambridge.org
Information on this title: www.cambridge.org/9780521149396
© Manu Malbrain and Jan De Waele 2013
This publication is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press.
First published 2013
Printed in the United Kingdom by CPI Group Ltd, Croydon CR0 4YY
A catalogue record for this publication is available from the British Library
Library of Congress Cataloging in Publication data
Malbrain, Manu, 1965– Intra-abdominal hypertension / Manu Malbrain, Jan De Waele.
p. ; cm. – (Core critical care) Includes bibliographical references. ISBN 978-0-521-14939-6 (pbk.) I. De Waele, Jan II. Title. III. Series: Core critical care. [DNLM: 1. Intra-Abdominal Hypertension. WI 900] RC691
0
3–dc23
616.1
2013005145
ISBN 978-0-521-14939-6 Paperback
Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate.
Every eort has been made in preparing this book to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every eort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use.

CONTENTS

List of contributors page viii List of abbreviations x Foreword xiii
Section 1 Understanding intra-abdominal
hypertension: what
to worry about? 1
1 What is intra-abdominal pressure? 3
2 Definitions 14
3 Principles of IAP management 25
4 Systems available to measure IAP 34
5 Pitfalls of IAP monitoring 52
Section 2 Underlying predisposing conditions:
when to worry? 57
6 Decreased abdominal compliance 59
7 Increased abdominal content 69
8 Capillary leak and fluid resuscitation 76
vi Contents
Section 3 Specic conditions: when to worry more? 91
9 Pancreatitis 93
10 Children 100
11 Trauma 106
12 Burns 112
13 Obesity 118
14 Pregnancy and others 122
Section 4 Consequences of intra-abdominal
hypertension: why to worry? 129
15 Cardiovascular system and IAH 131
16 Respiratory system and IAH 141
17 Renal system and IAH 147
18 Central nervous system and IAH 153
19 Other organs and IAH 159
20 How to define gastrointestinal failure? 164
21 Polycompartment syndromes 170
Section 5 Treatment 179
22 Improvement of abdominal wall compliance 181
23 Evacuation of intraluminal contents 185
24 Evacuation of abdominal fluid collections 189
25 Correction of capillary leaks and fluid balance 194
Contents vii
26 Specific treatments for IAH and ACS 204
27 Surgical treatment 212
28 Open abdomen management and temporary
abdominal closure 219
Section 6 The future 227
29 The future of IAH and ACS 229
Index 234

CONTRIBUTORS

Denitions (Section 1)
MICHAEL L. CHEATHAM Department of Surgical
Education, Orlando Regional Medical Center, Orlando,
FL, USA
Principles of IAP Measurement (Section 1), Specic
Treatments (Section 5)
BART L. DE KEULENAER Department of Intensive Care,
Fremantle Hospital, WA, Australia
Decreased Abdominal Compliance (Section 2), Increased
Abdominal Content (Section 2), Central Nervous System
(Section 4), Renal System (Section 4), Improvement of
Abdominal Wall Compliance (Section 5), Correction of
Capillary Leak (Section 5)
INNEKE DE LAET Department of Intensive Care, Ziekenhuis
Netwerk Antwerpen, ZNA Stuivenberg, Antwerpen,
Belgium
Capillary Leak and Fluid Resuscitation (Section 2)
MICHAEL FRANCIS DITILLO AND LEWIS J. KAPLAN Department
of Surgery, Yale University School of Medicine, New Haven,
CT, USA