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Measurement of intra-abdominal pressure
Intensivmedizin und Notfallmedizin, 10/20/09
Delius SV et al. – An increase in intra–abdominal pressure can lead to cardiorespiratory and renal compromise, can reduce abdominal perfusion, and has consequences on distant organ systems. The gold standard for the measurement of intra–abdominal pressure is the determination of bladder pressure. Measurements should be performed in a supine position and after instillation of 25 ml of normal saline in the bladder. Numerous conservative therapies for the treatment of intra–abdominal hypertension and abdominal compartment syndrome have been suggested. However, their efficacy still has to be shown.
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