Intra-Abdominal Hypertension Is More Common Than Previously Thought: A Prospective Study in a Mixed Medical-Surgical ICU

Author Patrick Murphy, Neil G Parry, Nathalie Sela, Ken Leslie, Kelly Vogt, Ian Ball
Source Journal Critical Care Medicine | June 2018

Intra-Abdominal Hypertension Is More Common Than Previously Thought: A Prospective Study in a Mixed Medical-Surgical ICU

This study aimed to apply the WSACS definitions to consecutively admitted patients in a mixed medical-surgical ICU to determine the prevalence of IAH.

Prospective Observational Study: 285 consecutive patients.

IAH was found to be independently associated with mortality. Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are increasingly recognized in critically ill patients and have been shown to contribute significantly to both morbidity and mortality.

Incidence: 30% IAH @ admission + 15% IAH developed in ICU = 45% overall incidence of IAH. 8 Patient with ACS with 87.5% ACS patient mortality.

Link: https://pubmed.ncbi.nlm.nih.gov/29578878/

Patrick Beer, DO, Critical Care Surgery Specialist, Hurley Medical Center

“I would recommend TraumaGuard to my colleagues – having watched it correlate 1:1 in the OR with insufflation pressures, as well as looking at the ease of use – this is a very valuable technology to use going forward, especially in resuscitation of patients in the ICU.”

Leo Mercer, MD, Critical Care Surgery Specialist, Hurley Medical Center

“Accuracy is difficult to assess – I can tell you that the best reference number I have for Intra-abdominal Pressure is coming off an insufflator, and to the extent that the TraumaGuard catheter is correlating - almost 1:1 - with that number, is comforting. It really can’t get better than that, frankly.”