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Annual Update in Intensive Care and Emergency Medicine 2016 pp 331–350Cite as

The Neglected Role of Abdominal Compliance in Organ-Organ Interactions

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Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

Abstract

Over the last few decades, increasing attention has been given to understanding the pathophysiology, etiology, prognosis, and treatment of elevated intra-abdominal pressure (IAP) in trauma, surgical, and medical patients. However, there is still a relatively poor understanding of intra-abdominal volume (IAV) and the relationship between IAV and IAP (i.e., abdominal compliance [Cab]). According to the consensus definitions proposed by the World Society on Abdominal Compartment Syndrome (WSACS), Cab is defined as a measure of the ease of abdominal expansion, determined by the elasticity of the abdominal wall and diaphragm [1]. Cab should be expressed as the change in IAV per change in IAP (expressed in ml/mmHg). Cab is one of the most neglected parameters in critically ill patients, despite playing a key-role in understanding the deleterious effects of unadapted IAV on IAP, organ-organ interactions and end-organ perfusion [2, 3]. Although there are some papers related to Cab in surgical patients, only a few papers have been published addressing this issue in critically ill patients [2–4].

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Authors and Affiliations

  1. Intensive Care Unit and High Care Burn Unit, Ziekenhuis Netwerk Antwerpen, ZNA Stuivenberg, B-2060, Antwerp, Belgium

    M. L. N. G. Malbrain & Y. Peeters

  2. Edendale Hospital, Perioperative Research Group, Discipline of Anesthesia and Critical Care, Univeristy of Kwazulu Natal, Pietermaritzburg, South Africa

    R. Wise

Authors
  1. M. L. N. G. Malbrain
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  2. Y. Peeters
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  3. R. Wise
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Correspondence to M. L. N. G. Malbrain .

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Editors and Affiliations

  1. Université libre de Bruxelles Dept. of Intensive Care, Erasme Hospital, Brussels, Belgium

    Jean-Louis Vincent

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Malbrain, M.L.N.G., Peeters, Y., Wise, R. (2016). The Neglected Role of Abdominal Compliance in Organ-Organ Interactions. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2016. Annual Update in Intensive Care and Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-27349-5_27

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  • DOI: https://doi.org/10.1007/978-3-319-27349-5_27

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27348-8

  • Online ISBN: 978-3-319-27349-5

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