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Sökning: id:"swepub:oai:lup.lub.lu.se:c2ca4948-2b19-4d2b-964d-f1c9e1e19515" > Fluid Management, I...

Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome : A Narrative Review

Jacobs, Rita (författare)
Antwerp University Hospital
Wise, Robert D. (författare)
Oxford University Hospital,University of KwaZulu-Natal
Myatchin, Ivan (författare)
Hospital Oost-Limburg,Universitair Ziekenhuis Brussel
visa fler...
Vanhonacker, Domien (författare)
Universitair Ziekenhuis Brussel
Minini, Andrea (författare)
Universitair Ziekenhuis Brussel,University of Insubria
Mekeirele, Michael (författare)
Universitair Ziekenhuis Brussel
Kirkpatrick, Andrew W. (författare)
University of Calgary
Pereira, Bruno M. (författare)
Sugrue, Michael (författare)
De Keulenaer, Bart (författare)
University of Western Australia, Perth
Bodnar, Zsolt (författare)
Acosta, Stefan (författare)
Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups
Ejike, Janeth (författare)
Loma Linda University
Tayebi, Salar (författare)
Vrije Universiteit Brussel (VUB)
Stiens, Johan (författare)
Cordemans, Colin (författare)
Ziekenhuis Netwerk Antwerpen (ZNA)
Van Regenmortel, Niels (författare)
Ziekenhuis Netwerk Antwerpen (ZNA),Antwerp University Hospital
Elbers, Paul W.G. (författare)
Vrije Universiteit Amsterdam
Monnet, Xavier (författare)
University of Paris-Saclay
Wong, Adrian (författare)
King's College Hospital
Dabrowski, Wojciech (författare)
Medical University of Lublin
Jorens, Philippe G. (författare)
University of Antwerp,Antwerp University Hospital
De Waele, Jan J. (författare)
Ghent University Hospital
Roberts, Derek J. (författare)
Kimball, Edward (författare)
Reintam Blaser, Annika (författare)
University of Tartu,Cantonal Hospital Lucerne
Malbrain, Manu L.N.G. (författare)
Medical University of Lublin
visa färre...
 (creator_code:org_t)
2022-09-06
2022
Engelska.
Ingår i: Life. - : MDPI AG. - 0024-3019 .- 2075-1729. ; 12:9
  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
Stäng  
  • 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

abdominal compartment syndrome
abdominal hypertension
colloids
crystalloids
fluid therapy
hypertonic
maintenance
open abdomen
resuscitation
sepsis

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