A MEDIÇÃO DA PRESSÃO INTRA-ABDOMINAL NA PROFILAXIA DA FALÊNCIA MÚLTIPLA DOS ÓRGÃOS: UMA REVISÃO INTEGRATIVA

Autores

DOI:

https://doi.org/10.47820/recima21.v3i4.1297

Palavras-chave:

Intra-abdominal hypertension, Critical Care, Multiple orgarn failure, Monitoring Physiologic, Emergency Treatment

Resumo

Objetivos: Fornecer conhecimento clínico e científico sobre hipertensão intra-abdominal e síndrome compartimental abdominal, necessário para a tomada de decisão e intervenção. Método: Revisão integrativa realizada em bancos de dados: PubMED; SCIELO; MEDLINE e LILACS. Foram incluídos artigos de março/2013 a julho/2021, excluindo estudos em crianças, modelos animais, artigos secundários, teses e dissertações. Resultados: foram encontrados 142 artigos, dos quais 20 foram selecionados para a amostra final. Os resultados obtidos foram agrupados em quatro classes: conhecimento dos profissionais de saúde sobre pressão intra-abdominal e foco em fatores de risco, diagnóstico e tratamento. Considerações finais: A hipertensão intra-abdominal é significativa na UTI e pode evoluir para síndrome compartimental abdominal. São condições recorrentes e preditores independentes de mortalidade. Seu diagnóstico precoce previne uma série de complicações. Dominar técnicas de diagnóstico e identificar fatores de risco é a chave para otimizar o tratamento dessas patologias.

Downloads

Não há dados estatísticos.

Biografia do Autor

Ana Flavia Botelho

Graduanda em Medicina, Universidade Estadual de Ponta Grossa UEPG. Ponta Grossa, Paraná, Brasil.

Caroline Link

Graduanda em Medicina, Universidade Estadual de Ponta Grossa UEPG. Ponta Grossa, Paraná, Brasil.

Ana Luzia Rodrigues

Doutora em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná- PUCPR. Docente do Departamento de Enfermagem e Saúde Pública da Universidade Estadual de Ponta Grossa- UEPG. Ponta Grossa, Paraná, Brasil.

Mario Martins

Doutor em Medicina- com ênfase em clínica cirúrgica,   Universidade Federal do Paraná- UFPR. Docente do curso de Medicina da Universidade Estadual de Ponta Grossa- UEPG e Universidade Federal do Paraná- UFPR. Ponta Grossa, Paraná

Referências

Burch JM, Moore EE, Moore FA, Franciose R. The abdominal compartment syndrome. Surg Clin North Am. 1996;76(4):833-842.DOI: 10.1016/s0039-6109(05)70483-7.

Von Bahten LC, Lange PAL, Alves RFF, Soares HMN, Souza TM, Von Bahten AC. Síndrome compartimental abdominal: análise do conhecimento da equipe médica de um hospital universitário de Curitiba. Rev Col Bras Cir. 2018;45(3):e1884. DOI: 10.1590/0100-6991e-2019200.

Khot Z, Murphy PB, Sela N, Parry NG, Vogt K, Ball IM. Incidence of intra-abdominal hypertension and abdominal compartment syndrome: a systematic review. J Intensive Care Med. 2019;0-5. DOI: 10.1177/0885066619892225.

Blaser AR, Par P, Kitus R, Starkopf J. Risk factors for intra-abdominal hypertension in mechanically ventilated patients. Acta Anaesthesiol Scand. 2011;55(5):607-614. DOI: 10.1111/ j.1399-6576.2011.02415.x.

Padar M, Blaser AR, Talving P, Lipping E, Starkopf J. Abdominal compartment syndrome: improving outcomes with a multidisciplinary approach – a narrative review. J Multidiscip Healthc. 2019;12:1061-1074. DOI: 10.2147/JMDH.S205608.

Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain MLNG, Keulenaer B, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med. 2013;39(7):1190-1206. DOI: 10.1007/s00134-013-2906-z.

Rogers WK, Garcia L. Intraabdominal hypertension, abdominal compartment syndrome, and the open abdomen. Chest. 2018;153(1):238-250. DOI: 10.1016/j.chest.2017.07.023.

Barker DE, Kaufman HJ, Smith LA, Ciraulo DL, Richart CL, Burns RP. Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients. J Trauma Inj Infect Crit Care. 2000;48(2):201-207. DOI: 10.1097/00005373-200002000-00001.

Sugrue M, Jones F, Deane SA, Bishop G, Bauman A, Hillman K. Intra-abdominal hypertension is an independent cause of postoperative renal impairment. Arch Surg. 1999;134(10):1082-1085. DOI:10.1001/archsurg.134.10.1082.

Nápoles MG, Fabra MEL. Síndrome compartimental abdominal. Rev Cuba Cir. 2013;52(2):126-138. Available from: http://dspace.ucuenca.edu.ec/bitstream/123456789/23876/1/TESIS.pdf.

Malbrain MLNG, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med. 2006;32(11):1722-1732. DOI: 10.1007/s00134-006-0349-5.

Attias O, Bar-Joseph G. Abdominal compartment syndrome in children. Pediatr Crit Care Med. 2014;2(1):39-55. DOI: 10.1097/00130478-200101000-00011.

Carlotti APCP, Carvalho WB. Abdominal compartment syndrome: a review. Pediatr Crit Care Med. 2009;10(1):115-120. DOI: 10.1097/PCC.0b013e31819371b2.

Maffongelli A, Fazzotta S, Palumbo VD, Damiano G, Buscemi S, Maione C, et al. Abdominal compartment syndrome: diagnostic evaluation and possible treatment. Clin Ter. 2020;171(2):e156-160. DOI: 10.7417/CT.2020.2206.

Napolitano LM. Intra-abdominal hypertension in the ICU: who to measure? How to prevent? Crit Care Med. 2019;47(4):608-609. DOI: 10.1097/CCM.0000000000003675.

Thabet FC, Ejike JC. Intra-abdominal hypertension and abdominal compartment syndrome in pediatrics. A review. J Crit Care. 2017;41:275-282. DOI: 10.1016/j.jcrc.2017.06.004.

Muturi A, Ndaguatha P, Ojuka D, Kibet A. Prevalence and predictors of intra-abdominal hypertension and compartment syndrome in surgical patients in critical care units at Kenyatta National Hospital. BMC Emerg Med. 2017;17(1):1-10. DOI: 10.1186/s12873-017-0120-y.

Santos JL, Pereira BMT, Dorigatti AE, Fraga GP. Perfil epidemiológico e diagnóstico da hipertensão intra-abdominal e síndrome compartimental abdominal nos pacientes da UTI do Hospital de Clínicas da Unicamp. Rev Trab Iniciac Cient UNICAMP. 2019;(26):20396. Available from: https://doi.org/10.20396/revpibic262018656.

Malbrain MLNG, Roberts DJ, De Laet I, De Waele JJ, Sugrue M, Schachtrupp A, et al. The role of abdominal compliance, the neglected parameter in critically ill patients – a consensus review of 16. Part 1: definitions and pathophysiology. Anaesthesiol Intensive Ther. 2014;46(5):392-405. DOI: 10.5603/AIT.2014.0062.

Malbrain MLNG, De Laet IE, De Waele JJ, Kirkpatrick AW. Intra-abdominal hypertension: definitions, monitoring, interpretation and management. Best Pract Res Clin Anaesthesiol. 2013;27(2):249-270. DOI: 10.1016/j.bpa.2013.06.009.

Christensen M, Craft J. The cardio-respiratory effects of intra-abdominal hypertension: considerations for critical care nursing practice. Intensive Crit Care Nurs. 2018;44:53-58. DOI: 10.1016/j.iccn.2017.05.003

Malbrain MLNG, Vidts W, Ravyts M, De Laet I, De Waele J. Acute intestinal distress syndrome: the importance of intra-abdominal pressure. Minerva Anestesiol. 2008;74(11):657-673. Available from:https://www.minervamedica.it/en/journals/minervaanestesiologica/article.php?cod=R02Y2008N11A0657.

Roberts DJ, Ball CG, Kirkpatrick AW. Increased pressure within the abdominal compartment: intra-abdominal hypertension and the abdominal compartment syndrome. Curr Opin Crit Care. 2016;22(2):174-185. DOI: 10.1097/MCC.0000000000000289.

Rajasurya V, Surani S. Abdominal compartment syndrome: often overlooked conditions in medical intensive care units. World J Gastroenterol. 2020; 26(3): 266-278. DOI: 10.3748/wjg.v26.i3.266.

Strang SG, Van Lieshout EMM, Breederveld RS, Van Waes OJF. A systematic review on intra-abdominal pressure in severely burned patients. Burns. 2014;40(1):9-16. DOI: 10.1016/j.burns.2013.07.001.

Cheatham ML. Abdominal compartment syndrome: pathophysiology and definitions. Scand J Trauma Resusc Emerg Med. 2009;17:10. DOI: 10.1186/1757-7241-17-10.

Balogh ZJ, Lumsdaine W, Moore EE, Moore FA. Postinjury abdominal compartment syndrome: from recognition to prevention. Lancet. 2014;384(9952):1466-1475. DOI: 10.1016/S0140-6736(14)61689-5.

De Laet I, De Waele JJ. Intra-abdominal hypertension and the effect on renal function. Acta Clin Belg. 2007;62(Suppl. 2):371-374. DOI: 10.1179/acb.2007.083.

Mohmand H, Goldfarb S. Renal dysfunction associated with intra-abdominal hypertension and the abdominal compartment syndrome. J Am Soc Nephrol. 2011;22(4):615-621. DOI: 10.1681/ASN.2010121222.

Yi M, Leng Y, Bai Y, Yao G, Zhu X. The evaluation of the effect of body positioning on intra-abdominal pressure measurement and the effect of intra-abdominal pressure at different body positioning on organ function and prognosis in critically ill patients. J Crit Care. 2012;27(2):222.e1-e6. DOI: 10.1016/j.jcrc.2011.08.010.

Wise R, Roberts DJ, Vandervelden S, Debergh D, De Waele JJ, De Laet I, et al. Awareness and knowledge of intra-abdominal hypertension and abdominal compartment syndrome: results of an international survey. Anaesthesiol Intensive Ther. 2015;47(1):14-29. DOI: 10.5603/AIT.2014.0051.

Strang SG, Van Lieshout EMM, Verhoeven RA, Van Waes OJF, Verhofstad MHJ. Recognition and management of intra-abdominal hypertension and abdominal compartment syndrome; a survey among Dutch surgeons. Eur J Trauma Emerg Surg. 2017;43(1):85-98. DOI: 10.1007/s00068-016-0637-x.

Hunt L, Frost SA, Newton PJ, Salamonson Y, Davidson PM. A survey of critical care nurses’ knowledge of intra-abdominal hypertension and abdominal compartment syndrome. Aust Crit Care. 2017;30(1):21-27. DOI: 10.1016/j.aucc.2016.02.001.

Wise R, Rodseth R, Blaser AR, Roberts DJ, De Waele JJ, Kirkpatrick AW, et al. Awareness and knowledge of intra-abdominal hypertension and abdominal compartment syndrome: results of a repeat, international, cross-sectional survey. Anaesthesiol Intensive Ther. 2019;51(3):186-199. DOI: 10.5114/ait.2019.87648.

Ruiz-Castilla M, Barret JP, Sanz D, Aguilera J, Serracanta J, García V, et al. Analysis of intra-abdominal hypertension in severe burned patients: the Vall d’Hebron experience. Burns. 2014;40(4):719-724. DOI: 10.1016/j.burns.2013.09.021.

Joseph B, Zangbar B, Pandit V, Vercruysse G, Aziz H, Kulvatunyou N, et al. The conjoint effect of reduced crystalloid administration and decreased damage-control laparotomy use in the development of abdominal compartment syndrome. J Trauma Acute Care Surg. 2014;76(2):457-461. DOI: 10.1097/TA.0b013e3182a9ea44.

Aitken EL, Gough V, Jones A, MacDonald A. Observational study of intra-abdominal pressure monitoring in acute pancreatitis. Surg (United States). 2014;155(5):910-918. DOI: 10.1016/j.surg.2013.12.028.

Mahmood I, Mahmood S, Parchani A, Kumar S, El-Menyar A, Zarour A, et al. Intra-abdominal hypertension in the current era of modern trauma resuscitation. ANZ J Surg. 2014;84(3):166-171. DOI: 10.1111/ans.12169.

Mazzeffi MA, Stafford P, Wallace K, Bernstein W, Deshpande S, Odonkor P, et al. Intra-abdominal hypertension and postoperative kidney dysfunction in cardiac surgery patients. J Cardiothorac Vasc Anesth. 2016;30(6):1571-1577. DOI: 10.1053/j.jvca.2016.05.028.

Puiac C, Szederjesi J, Lazar A, Almasy E, Rad P, Puscasiu L. Influence of ventilation parameters on intraabdominal pressure. J Crit Care Med. 2016;2(2):80-84. DOI: 10.1515/jccm-2016-0016.

Murphy PB, Parry NG, Sela N, Leslie K, Vogt K, Ball I. Intra-abdominal hypertension is more common than previously thought: a prospective study in a mixed medical-surgical ICU. Crit Care Med. 2018;46(6):958-964. DOI: 10.1097/CCM.0000000000003122.

Talizin TB, Tsuda MS, Tanita MT, Kauss IAM, Festti J, Maio Carrilho CMD, et al. Acute kidney injury and intra-abdominal hypertension in burn patients in intensive care. Rev Bras Ter Intensiva. 2018;30(1):15-20. DOI: 10.5935/0103-507X.20180001.

He L, Yi C, Hou Z, Hak DJ. Intraabdominal hypertension/abdominal compartment syndrome after pelvic fractures: how they occur and what can be done? Injury. 2019;50(4):919-925.DOI: DOI: 10.1016/j.injury.2019.03.037.

Nazer R, Albarrati A, Ullah A, Alamro S, Kashour T. Intra-abdominal hypertension in obese patients undergoing coronary surgery: a prospective observational study. Surg (United States). 2019;166(6):1128-34. DOI: 10.1016/j.surg.2019.05.038.

Reintam Blaser A, Regli A, Keulenaer B, Kimball EJ, Starkopf L, Davis WA, et al. Incidence, risk factors, and outcomes of intra-abdominal hypertension in critically ill patients – a prospective multicenter study (IROI study). Crit Care Med. 2019;47(4):535-542. DOI: 10.1097/CCM.0000000000003623.

Blaser AR, Sarapuu S, Tamme K, Starkopf J. Expanded measurements of intra-abdominal pressure do not increase the detection rate of intra-abdominal hypertension: a single-center observational study. Crit Care Med. 2014;42(2):378-386. DOI: 10.1097/CCM.0b013e3182a6459b.

De Waele JJ, Kimball E, Malbrain M, Nesbitt I, Cohen J, Kaloiani V, et al. Decompressive laparotomy for abdominal compartment syndrome. Br J Surg. 2016;103(6):709-715. DOI: 10.1002/bjs.10097.

Muresan M, Muresan S, Brinzaniuc K, Voidazan S, Sala D, Jimborean O, et al. How much does decompressive laparotomy reduce the mortality rate in primary abdominal compartment syndrome? Med (United States). 2017;96(5). DOI: 10.1097/MD.0000000000006006.

Meng JB, Jiao YN, Xu XJ, Lai ZZ, Zhang G, Ji CL, et al. Electro-acupuncture attenuates inflammatory responses and intraabdominal pressure in septic patients. Med (United States). 2018;97(17):1-7. DOI: 10.1097/MD.0000000000010555.

Van Damme L, De Waele JJ. Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis. Crit Care. 2018;22(1):1-11. DOI: 10.1186/s13054-018-2103-0.

Obeid F, Saba A, Fath J, et al. Increases in Intra-abdominal Pressure Affect Pulmonary Compliance. Arch Surg. 1995;130(5):544–548. DOI: 10.1001/archsurg.1995.01430050094016.

Malbrain MLNG, De Laet IE. Intra-abdominal hyper tension: evolving concepts. Clin Chest Med. 2009;30(1):45-70. DOI: 10.1016/j.ccm.2008.09.003.

Kirkpatrick AW, Nickerson D, Roberts DJ, Rosen MJ, McBeth PB, Petro CC, et al. Intra-abdominal hypertension and abdominal compartment syndrome after abdominal wall reconstruction: quaternary syndromes? Scand J Surg. 2017;106(2):97-106. DOI: 10.1177/1457496916660036.

Andrási TB, Buhmann V, Soós P, Juhász-Nagy A, Szabó G. Mesenteric complications after hypothermic cardiopulmonary bypass with cardiac arrest: underlying mechanisms. Artif Organs. 2002;26(11):943-946. DOI: 10.1046/j.1525-1594.2002.07116.x.

Chun R, Kirkpatrick AW. Intra-abdominal pressure, intra-abdominal hypertension, and pregnancy: a review. Ann Intensive Care. 2012;2(Suppl 1):1-7. DOI: 10.1186/2110-5820-2-S1-S5.

Al-Khan A, Shah M, Altabban M, Kaul S, Dyer KY, Alvarez M, Saber S. Measurement of intraabdominal pressure in pregnant women at term. J Reprod Med. 2011;56(1-2):53-57. Avaliable from: https://europepmc.org/article/med/21366128Hobson.

KG, Young KM, Ciraulo A, Palmieri TL, Greenhalgh DG. Release of abdominal compartment syndrome improves survival in patients with burn injury. J Trauma Inj Infect Crit Care. 2002;53(6):1129-1133. DOI: 10.1097/00005373-200212000-00016.

Malbrain MLNG, Chiumello D, Pelosi P, Wilmer A, Brienza N, Malcangi V, et al. Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med. 2004;30(5):822-829. DOI: 10.1007/s00134-004-2169-9.

Cheatham ML, Malbrain MLNG, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. II. Recommendations. Intensive Care Med. 2007;33(6):951-962. DOI: 10.1007/s00134-007-0592-4.

Lee RK. Intra-abdominal hypertension and abdominal compartment syndrome a comprehensive overview. Crit Care Nurse. 2012;32(1):19-31. DOI: 10.4037/ccn2012662.

Ball CG, Kirkpatrick AW. “Progression towards the minimum”: the importance of standardizing the priming volume during the indirect measurement of intra-abdominal pressures. Crit Care. 2006;10(4):1-2. DOI: 10.1186/cc4987.

Caldas BS, Silva Ascenção AM. Protocols for diagnosis and management of intra-abdominal hypertension in intensive care units. Rev Col Bras Cir. 2020;47(1):1-7. DOI: 10.1590/0100-6991e-20202415.

Vogel JD, Feingold DL, Stewart DB, Turner JS, Boutros M, Chun J, et al. Clinical practice guidelines for colon volvulus and acute colonic pseudo-obstruction. Dis Colon Rectum. 2016;59(7):589-600. DOI: 10.1097/DCR.0000000000000602.

Saunders MD. Acute colonic pseudo-obstruction. Best Pract Res Clin Gastroenterol. 2007;21(4):671-687. DOI: 10.1055/s-0035-1549100.

Cheatham ML, De Waele JJ, De Laet I, De Keulenaer B, Widder S, Kirkpatrick AW, et al. The impact of body position on intra-abdominal pressure measurement: a multicenter analysis. Crit Care Med. 2009;37(7):2187-2190. DOI: 10.1097/CCM.0b013e3181a021fa.

Chionh JJL, Wei BPC, Martin JA, Opdam HI. Determining normal values for intra-abdominal pressure. ANZ J Surg. 2006;76(12):1106-1109. DOI: 10.1111/j.1445-2197.2006.03849.x.

Regli A, Pelosi P, Malbrain MLNG. Ventilation in patients with intra-abdominal hypertension: what every critical care physician needs to know. Ann Intensive Care. 2019;9(1). DOI: 10.1186/s13613-019-0522-y.

Demetriades D, Salim A. Management of the open abdomen. Surg Clin North Am. 2014;94(1):131-153. DOI: 10.1016/j.suc.2013.10.010.

Chiara O, Cimbanassi S, Biffl W, Leppaniemi A, Henry S, Scalea TM, et al. International consensus conference on open abdomen in trauma. J Trauma Acute Care Surg. 2016;80(1):173-183. DOI: 10.1097/TA.0000000000000882.

Coccolini F, Roberts D, Ansaloni L, Ivatury R, Gamberini E, Kluger Y, et al. The open abdomen in trauma and non-trauma patients: WSES guidelines. World J Emerg Surg. 2018;13(1):1-16. DOI: 10.1186/s13017-018-0167-4.

Kubiak BD, Albert SP, Gatto LA, Snyder KP, Maier KG, Vieau CJ, et al. Peritoneal negative pressure therapy prevents multiple organ injury in a chronic porcine sepsis and ischemia/reperfusion model. Shock. 2010;34(5):525-534. DOI: 10.1097/SHK.0b013e3181e14cd2.

Downloads

Publicado

13/04/2022

Como Citar

Botelho, A. F., Link, C., Rodrigues, A. L., & Martins, M. . (2022). A MEDIÇÃO DA PRESSÃO INTRA-ABDOMINAL NA PROFILAXIA DA FALÊNCIA MÚLTIPLA DOS ÓRGÃOS: UMA REVISÃO INTEGRATIVA. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 3(4), e341297. https://doi.org/10.47820/recima21.v3i4.1297