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Table 2 Therapeutical options to lower IAH

From: Recognition and management of abdominal compartment syndrome among German pediatric intensivists: results of a national survey

Options

Evacuation of intraluminal contents

Evacuation of intra-abdominal space occupying lesions

Improvement of abdominal wall compliance

Optimization of fluid administration

Optimization of abdominal (APP) and systemic perfusion

Medical, non-invasive options

Gastric/rectal tube Diet

 

Analgetics and sedatives

Modest fluid administration

Goal-directed fluid administration

 

Prokinetics

 

Positioning

Diuretics

Pressors

 

Fasting

 

Muscle relaxants

 

Inotropes

Interventional, minimal-invasive options

Gastric decompression

Paracentesis

 

Continuous venous hemofiltration

 
 

Colonoscopic decompression

Percutaneous catheter drainage

   

Surgical, invasive options

 

Decompressive laparotomy

Escharatomy/fasciotomy

 

Laparostomy (TAC)

  1. TAC, temporary abdominal closure. Adapted from Ejike et al. and Cheatham et al. [19, 50]