腹部腔室症候群abdominal compartment syndrome
腹部腔室症候群abdominal compartment syndrome
IAP (intra-abdominal pressure): normal = 5~7mmHg
APP (abdominal perfusion pressure) = MAP – IAP
IAP measurement:
- End-expiration
- Supine position
- No abdominal muscle contractions
- Zeroed at mid-axillary line
- Via bladder with 25mL sterile saline
IAH (intra-abdominal hypertension) = IAP > 12mmHg
- Grade I: 12~15mmHg
- Grade II: 16~20mmHg
- Grade III: 21~25mmHg
- Grade IV: >25mmHg
ACS (abdominal compartment syndrome)
- IAP > 20mmHg with/without APP < 60mmHg
- New organ dysfunction