Indicaciones de monitorización de la IAP

Sepsis / SIRS / Ischemia Reperfusion

  • Sepsis and resuscitation with > 6 liters crystalloid/ colloid or > 4 units blood in 8 hours1-3

  • Pancreatitis4, 5

  • Peritonitis2, 3, 6

  • Ileus / Bowel obstruction2, 3, 7, 8

  • Mesenteric ischemia / necrosis9

Visceral compression / Reduction

  • Large ascites/ peritoneal dialysis3, 6, 10, 11

  • Retroperitoneal / abdominal wall bleeding12, 13

  • Large Abdominal tumor6, 10

  • Laparotomy closed under tension14, 15

  • Gastroschisis / Omphalocele 16-18

Surgical

  • Intra-operative fluid balance > 6 liters19

  • Abdominal aortic aneurysm repair20-23

Trauma

  • Shock requiring resuscitation (ischemiareperfusion)3, 24, 25

  • Damage Control Laparotomy26-28

  • Multiple trauma with or without abdominaltrauma requiring resuscitation with > 6 literscrystalloid/colloid or > 4 units blood in 8 hours 24,25, 27, 29, 30

  • Major burns (> 25%)11, 31-34

Patients with a distended abdomen and signs or symptoms consistent with Abdominal Compartment Syndrome

  • Oliguria

  • Hypoxia

  • Hypotension

  • Unexplained acidosis

  • Mesenteric ischemia

  • Elevated intracranial pressure (ICP)