Push a button, get an accurate reading. Period.
There is a strong case for regular measurement of IAP as part of an evidence-based protocol. These measurements can be used to better guide patient care to help reduce occurrences and complications of intra-abdominal hypertension and abdominal compartment syndrome. In particular, the 2010 Cheatham Critical Care Medicine study showed significant improvement in survival to discharge when IAP is monitored.
The single multivariate predictor that improved survival a significant amount – more than threefold – was prophylactic open abdomen management strategy, which requires serial IAP measurements. The diagnosis and management of IAH and Abdominal Compartment Syndrome (ACS) have changed significantly over time with an improved understanding of the pathophysiology and appropriate treatment of these disease processes. Serial intra-abdominal pressure measurements, non-operative pressure-reducing interventions, and early abdominal decompression for refractory intra-abdominal hypertension or abdominal compartment syndrome are all key elements of this developing strategy.
Together with these protocols, intra-abdominal pressure readings can empower clinicians to improve clinical outcomes and save patient lives.