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Intra-Abdominal Hypertension and MODS

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Sepsis Management

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Abstract

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have been rediscovered in the last decades, and appear to frequently complicate severe sepsis and septic shock. IAH affects all organ systems and contributes to the development of MODS. Intra-abdominal pressure measurement is therefore mandatory as IAP should be incorporated in the clinical management of hemodynamics and respiration, and used as a therapeutic target. Comprehensive management of IAH in the critically ill patient is based on recognition of the problem, prevention where possible, and medical and surgical treatment when indicated. In this review, we will give an overview of the current understanding of IAH and ACS in general, and explore how it is relevant for severe sepsis patients and their treatment.

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Authors and Affiliations

  1. Department of Critical Care Medicine, Ghent University Hospital, Ghent, Belgium

    Jan J. De Waele & Inneke De laet

  2. ICU, ZiekenhuisNetwerk Antwerpen, Campus Stuivenberg, Antwerp, Belgium

    Inneke De laet

Authors
  1. Jan J. De Waele
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  2. Inneke De laet
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Corresponding author

Correspondence to Jan J. De Waele .

Editor information

Editors and Affiliations

  1. Unidad de Cuidados Críticos, Hospital Universitari Joan XXIII, Carrer Mallafré Guasch 4, Tarragona, 43007, Spain

    Jordi Rello

  2. Intensive Care Facility, Royal Brisbane Hospital, Herston Road, Herston, Brisbane, 4029, Queensland, Australia

    J. Lipman

  3. Unidad de Cuidados Críticos, Hospital Universitari Joan XXIII, Carrer Mallafré Guasch 4, Tarragona, 43007, Spain

    Thiago Lisboa

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© 2012 Springer-Verlag Berlin Heidelberg

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De Waele, J.J., De laet, I. (2012). Intra-Abdominal Hypertension and MODS. In: Rello, J., Lipman, J., Lisboa, T. (eds) Sepsis Management. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03519-7_6

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  • DOI: https://doi.org/10.1007/978-3-642-03519-7_6

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-03518-0

  • Online ISBN: 978-3-642-03519-7

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