The AVF Podcast: ICU Tips & Tricks invites colleagues to share anything and everything on how they deal with various clinical situations. Expect discussions on how experts personalise evidence-based medicine for the patient at the bedside.
In this episode, Professor Manu Malbrain discusses the implications of increased intra-abdominal pressure on mechanical ventilation. Professor Malbrain is Professor of critical care research at the First Department of Anaesthesiology and Intensive Therapy at the Medical University of Lublin in Poland. He is the current President and co-founder of the International Fluid Academy, and the inaugural President, co-founder, and Treasurer of the Abdominal Compartment Society.
Issues discussed in this interview:
• General effects of intra-abdominal hypertension
• Physiologic effects of increased intra-abdominal pressure on intra-thoracic pressure
• Guidance for adjusting ventilation in the presence of increased intra-abdominal pressure
• General concerns and common pitfalls in the measurement of intra-abdominal pressure
Work cited:
1. Pelosi P, Quintel M, Malbrain ML. Effect of intra-abdominal pressure on respiratory mechanics. Acta Clinica Belg. 2007;62-Suppl 1:78-88.
2. 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;9:52.
3. Martini A, Tonelli R, Rossi G, et al. Ventilatory support and mechanical properties of the fibrotic lung acting as a “squishy ball.” Ann Intensive Care, 2020;10:13.