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Fluid Management, I...
Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome : A Narrative Review
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- Jacobs, Rita (author)
- Antwerp University Hospital
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- Wise, Robert D. (author)
- University of KwaZulu-Natal,Oxford University Hospital
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- Myatchin, Ivan (author)
- Universitair Ziekenhuis Brussel,Hospital Oost-Limburg
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- Vanhonacker, Domien (author)
- Universitair Ziekenhuis Brussel
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- Minini, Andrea (author)
- University of Insubria,Universitair Ziekenhuis Brussel
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- Mekeirele, Michael (author)
- Universitair Ziekenhuis Brussel
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- Kirkpatrick, Andrew W. (author)
- University of Calgary
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Pereira, Bruno M. (author)
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Sugrue, Michael (author)
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- De Keulenaer, Bart (author)
- University of Western Australia, Perth
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Bodnar, Zsolt (author)
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- Acosta, Stefan (author)
- Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups
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- Ejike, Janeth (author)
- Loma Linda University
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- Tayebi, Salar (author)
- Vrije Universiteit Brussel (VUB)
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Stiens, Johan (author)
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- Cordemans, Colin (author)
- Ziekenhuis Netwerk Antwerpen (ZNA)
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- Van Regenmortel, Niels (author)
- Antwerp University Hospital,Ziekenhuis Netwerk Antwerpen (ZNA)
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- Elbers, Paul W.G. (author)
- Vrije Universiteit Amsterdam
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- Monnet, Xavier (author)
- University of Paris-Saclay
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- Wong, Adrian (author)
- King's College Hospital
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- Dabrowski, Wojciech (author)
- Medical University of Lublin
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- Jorens, Philippe G. (author)
- University of Antwerp,Antwerp University Hospital
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- De Waele, Jan J. (author)
- Ghent University Hospital
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Roberts, Derek J. (author)
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Kimball, Edward (author)
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- Reintam Blaser, Annika (author)
- University of Tartu,Cantonal Hospital Lucerne
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- Malbrain, Manu L.N.G. (author)
- Medical University of Lublin
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(creator_code:org_t)
- 2022-09-06
- 2022
- English.
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In: Life. - : MDPI AG. - 0024-3019 .- 2075-1729. ; 12:9
- Related links:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.3...
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Abstract
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- Background: General pathophysiological mechanisms regarding associations between fluid administration and intra-abdominal hypertension (IAH) are evident, but specific effects of type, amount, and timing of fluids are less clear. Objectives: This review aims to summarize current knowledge on associations between fluid administration and intra-abdominal pressure (IAP) and fluid management in patients at risk of intra-abdominal hypertension and abdominal compartment syndrome (ACS). Methods: We performed a structured literature search from 1950 until May 2021 to identify evidence of associations between fluid management and intra-abdominal pressure not limited to any specific study or patient population. Findings were summarized based on the following information: general concepts of fluid management, physiology of fluid movement in patients with intra-abdominal hypertension, and data on associations between fluid administration and IAH. Results: We identified three randomized controlled trials (RCTs), 38 prospective observational studies, 29 retrospective studies, 18 case reports in adults, two observational studies and 10 case reports in children, and three animal studies that addressed associations between fluid administration and IAH. Associations between fluid resuscitation and IAH were confirmed in most studies. Fluid resuscitation contributes to the development of IAH. However, patients with IAH receive more fluids to manage the effect of IAH on other organ systems, thereby causing a vicious cycle. Timing and approach to de-resuscitation are of utmost importance, but clear indicators to guide this decision-making process are lacking. In selected cases, only surgical decompression of the abdomen can stop deterioration and prevent further morbidity and mortality. Conclusions: Current evidence confirms an association between fluid resuscitation and secondary IAH, but optimal fluid management strategies for patients with IAH remain controversial.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- abdominal compartment syndrome
- abdominal hypertension
- colloids
- crystalloids
- fluid therapy
- hypertonic
- maintenance
- open abdomen
- resuscitation
- sepsis
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- ref (subject category)
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Life
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- By the author/editor
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Jacobs, Rita
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Wise, Robert D.
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Myatchin, Ivan
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Vanhonacker, Dom ...
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Minini, Andrea
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Mekeirele, Micha ...
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show more...
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Kirkpatrick, And ...
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Pereira, Bruno M ...
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Sugrue, Michael
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De Keulenaer, Ba ...
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Bodnar, Zsolt
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Acosta, Stefan
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Ejike, Janeth
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Tayebi, Salar
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Stiens, Johan
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Cordemans, Colin
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Van Regenmortel, ...
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Elbers, Paul W.G ...
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Monnet, Xavier
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Wong, Adrian
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Dabrowski, Wojci ...
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Jorens, Philippe ...
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De Waele, Jan J.
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Roberts, Derek J ...
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Kimball, Edward
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Reintam Blaser, ...
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Malbrain, Manu L ...
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Life
- By the university
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Lund University