Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review

Rita Jacobs; Robert D Wise; Ivan Myatchin; Domien Vanhonacker; Andrea Minini; Michael Mekeirele; Andrew W Kirkpatrick; Bruno M Pereira; Michael Sugrue; Bart De Keulenaer; Zsolt Bodnar; Stefan Acosta; Janeth Ejike; Salar Tayebi; Johan Stiens; Colin Cordemans; Niels Van Regenmortel; Paul W G Elbers; Xavier Monnet; Adrian Wong; Wojciech Dabrowski; Philippe G Jorens; Jan J De Waele; Derek J Roberts; Edward Kimball; Annika Reintam Blaser; Manu L N G Malbrain

doi:https://doi.org/10.3390/life12091390

Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review

Rita Jacobs, Robert D Wise, Ivan Myatchin, Domien Vanhonacker, Andrea Minini, Michael Mekeirele, Andrew W Kirkpatrick, Bruno M Pereira, Michael Sugrue, Bart De Keulenaer, Zsolt Bodnar, Stefan Acosta, Janeth Ejike, Salar Tayebi, Johan Stiens, Colin Cordemans, Niels Van Regenmortel, Paul W G Elbers, Xavier Monnet, Adrian WongWojciech Dabrowski, Philippe G Jorens, Jan J De Waele, Derek J Roberts, Edward Kimball, Annika Reintam Blaser, Manu L N G Malbrain

Research output: Contribution to journal › Review article › Academic › peer-review

12 Citations (Scopus)

Abstract

BACKGROUND: General pathophysiological mechanisms regarding associations between fluid administration and intra-abdominal hypertension (IAH) are evident, but specific effects of type, amount, and timing of fluids are less clear.

OBJECTIVES: This review aims to summarize current knowledge on associations between fluid administration and intra-abdominal pressure (IAP) and fluid management in patients at risk of intra-abdominal hypertension and abdominal compartment syndrome (ACS).

METHODS: We performed a structured literature search from 1950 until May 2021 to identify evidence of associations between fluid management and intra-abdominal pressure not limited to any specific study or patient population. Findings were summarized based on the following information: general concepts of fluid management, physiology of fluid movement in patients with intra-abdominal hypertension, and data on associations between fluid administration and IAH.

RESULTS: We identified three randomized controlled trials (RCTs), 38 prospective observational studies, 29 retrospective studies, 18 case reports in adults, two observational studies and 10 case reports in children, and three animal studies that addressed associations between fluid administration and IAH. Associations between fluid resuscitation and IAH were confirmed in most studies. Fluid resuscitation contributes to the development of IAH. However, patients with IAH receive more fluids to manage the effect of IAH on other organ systems, thereby causing a vicious cycle. Timing and approach to de-resuscitation are of utmost importance, but clear indicators to guide this decision-making process are lacking. In selected cases, only surgical decompression of the abdomen can stop deterioration and prevent further morbidity and mortality.

CONCLUSIONS: Current evidence confirms an association between fluid resuscitation and secondary IAH, but optimal fluid management strategies for patients with IAH remain controversial.

Original language	English
Article number	1390
Journal	Life
Volume	12
Issue number	9
DOIs	https://doi.org/10.3390/life12091390
Publication status	Published - 6 Sept 2022

Keywords

abdominal compartment syndrome
abdominal hypertension
colloids
crystalloids
fluid therapy
hypertonic
maintenance
open abdomen
resuscitation
sepsis

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https://doi.org/10.3390/life12091390

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Jacobs, R., Wise, R. D., Myatchin, I., Vanhonacker, D., Minini, A., Mekeirele, M., Kirkpatrick, A. W., Pereira, B. M., Sugrue, M., De Keulenaer, B., Bodnar, Z., Acosta, S., Ejike, J., Tayebi, S., Stiens, J., Cordemans, C., Van Regenmortel, N., Elbers, P. W. G., Monnet, X., ... Malbrain, M. L. N. G. (2022). Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review. Life, 12(9), Article 1390. https://doi.org/10.3390/life12091390

@article{44e439bf7cf34657a47030e9bd324f51,

title = "Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review",

abstract = "BACKGROUND: General pathophysiological mechanisms regarding associations between fluid administration and intra-abdominal hypertension (IAH) are evident, but specific effects of type, amount, and timing of fluids are less clear.OBJECTIVES: This review aims to summarize current knowledge on associations between fluid administration and intra-abdominal pressure (IAP) and fluid management in patients at risk of intra-abdominal hypertension and abdominal compartment syndrome (ACS).METHODS: We performed a structured literature search from 1950 until May 2021 to identify evidence of associations between fluid management and intra-abdominal pressure not limited to any specific study or patient population. Findings were summarized based on the following information: general concepts of fluid management, physiology of fluid movement in patients with intra-abdominal hypertension, and data on associations between fluid administration and IAH.RESULTS: We identified three randomized controlled trials (RCTs), 38 prospective observational studies, 29 retrospective studies, 18 case reports in adults, two observational studies and 10 case reports in children, and three animal studies that addressed associations between fluid administration and IAH. Associations between fluid resuscitation and IAH were confirmed in most studies. Fluid resuscitation contributes to the development of IAH. However, patients with IAH receive more fluids to manage the effect of IAH on other organ systems, thereby causing a vicious cycle. Timing and approach to de-resuscitation are of utmost importance, but clear indicators to guide this decision-making process are lacking. In selected cases, only surgical decompression of the abdomen can stop deterioration and prevent further morbidity and mortality.CONCLUSIONS: Current evidence confirms an association between fluid resuscitation and secondary IAH, but optimal fluid management strategies for patients with IAH remain controversial.",

keywords = "abdominal compartment syndrome, abdominal hypertension, colloids, crystalloids, fluid therapy, hypertonic, maintenance, open abdomen, resuscitation, sepsis",

author = "Rita Jacobs and Wise, {Robert D} and Ivan Myatchin and Domien Vanhonacker and Andrea Minini and Michael Mekeirele and Kirkpatrick, {Andrew W} and Pereira, {Bruno M} and Michael Sugrue and {De Keulenaer}, Bart and Zsolt Bodnar and Stefan Acosta and Janeth Ejike and Salar Tayebi and Johan Stiens and Colin Cordemans and {Van Regenmortel}, Niels and Elbers, {Paul W G} and Xavier Monnet and Adrian Wong and Wojciech Dabrowski and Jorens, {Philippe G} and {De Waele}, {Jan J} and Roberts, {Derek J} and Edward Kimball and {Reintam Blaser}, Annika and Malbrain, {Manu L N G}",

note = "Funding Information: No funding was provided except for support by WSACS (www.wsacs.org (accessed on: 26 May 2022)) and University Hospital Antwerp to cover the Open Access fee. Funding Information: ARB received speaker{\textquoteright}s fees from Fresenius Kabi and Nestl{\'e}, and her institution (University of Tartu) received a study grant from Fresenius Kabi. AWK is the Principal Investigator of the COOL Trial ( https://clinicaltrials.gov/ct2/show/NCT03163095 (accessed on: 26 May 2022)), which has received unrestricted funding from the Abdominal Compartment Society and the Acelity Corp. AWK has also consulted for Zoll Medical, the Innovative Trauma Care, and the SAM Medical Corporations. MLNGM is a member of the medical advisory Board of Pulsion Medical Systems (now fully integrated in Getinge, Solna, Sweden) and Serenno Medical (Tel Aviv, Israel), consults for Baxter, Maltron, ConvaTec, Acelity, Spiegelberg and Holtech Medical. He is co-founder and President of the International Fluid Academy (IFA). He is co-founder, past-president and current treasurer of the Abdominal Compartment Society, formerly known as the World Society of Abdominal Compartment Syndrome ( https://www.wsacs.org/ (accessed on: 26 May 2022)). XM is a member of the Medical Advisory Board of Pulsion Medical Systems. He made paid lectures for Cheetah Medical. MS had undertaken consulting with Smith and Nephew, Acelity and Novus Scientific All other authors declare that they have no competing interests in relation to the content published in this manuscript. Publisher Copyright: {\textcopyright} 2022 by the authors.",

year = "2022",

month = sep,

day = "6",

doi = "https://doi.org/10.3390/life12091390",

language = "English",

volume = "12",

journal = "Life",

issn = "2075-1729",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

number = "9",

}

Jacobs, R, Wise, RD, Myatchin, I, Vanhonacker, D, Minini, A, Mekeirele, M, Kirkpatrick, AW, Pereira, BM, Sugrue, M, De Keulenaer, B, Bodnar, Z, Acosta, S, Ejike, J, Tayebi, S, Stiens, J, Cordemans, C, Van Regenmortel, N, Elbers, PWG, Monnet, X, Wong, A, Dabrowski, W, Jorens, PG, De Waele, JJ, Roberts, DJ, Kimball, E, Reintam Blaser, A & Malbrain, MLNG 2022, 'Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review', Life, vol. 12, no. 9, 1390. https://doi.org/10.3390/life12091390

TY - JOUR

T1 - Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome

T2 - A Narrative Review

AU - Jacobs, Rita

AU - Wise, Robert D

AU - Myatchin, Ivan

AU - Vanhonacker, Domien

AU - Minini, Andrea

AU - Mekeirele, Michael

AU - Kirkpatrick, Andrew W

AU - Pereira, Bruno M

AU - Sugrue, Michael

AU - De Keulenaer, Bart

AU - Bodnar, Zsolt

AU - Acosta, Stefan

AU - Ejike, Janeth

AU - Tayebi, Salar

AU - Stiens, Johan

AU - Cordemans, Colin

AU - Van Regenmortel, Niels

AU - Elbers, Paul W G

AU - Monnet, Xavier

AU - Wong, Adrian

AU - Dabrowski, Wojciech

AU - Jorens, Philippe G

AU - De Waele, Jan J

AU - Roberts, Derek J

AU - Kimball, Edward

AU - Reintam Blaser, Annika

AU - Malbrain, Manu L N G

N1 - Funding Information: No funding was provided except for support by WSACS (www.wsacs.org (accessed on: 26 May 2022)) and University Hospital Antwerp to cover the Open Access fee. Funding Information: ARB received speaker’s fees from Fresenius Kabi and Nestlé, and her institution (University of Tartu) received a study grant from Fresenius Kabi. AWK is the Principal Investigator of the COOL Trial ( https://clinicaltrials.gov/ct2/show/NCT03163095 (accessed on: 26 May 2022)), which has received unrestricted funding from the Abdominal Compartment Society and the Acelity Corp. AWK has also consulted for Zoll Medical, the Innovative Trauma Care, and the SAM Medical Corporations. MLNGM is a member of the medical advisory Board of Pulsion Medical Systems (now fully integrated in Getinge, Solna, Sweden) and Serenno Medical (Tel Aviv, Israel), consults for Baxter, Maltron, ConvaTec, Acelity, Spiegelberg and Holtech Medical. He is co-founder and President of the International Fluid Academy (IFA). He is co-founder, past-president and current treasurer of the Abdominal Compartment Society, formerly known as the World Society of Abdominal Compartment Syndrome ( https://www.wsacs.org/ (accessed on: 26 May 2022)). XM is a member of the Medical Advisory Board of Pulsion Medical Systems. He made paid lectures for Cheetah Medical. MS had undertaken consulting with Smith and Nephew, Acelity and Novus Scientific All other authors declare that they have no competing interests in relation to the content published in this manuscript. Publisher Copyright: © 2022 by the authors.

PY - 2022/9/6

Y1 - 2022/9/6

N2 - BACKGROUND: General pathophysiological mechanisms regarding associations between fluid administration and intra-abdominal hypertension (IAH) are evident, but specific effects of type, amount, and timing of fluids are less clear.OBJECTIVES: This review aims to summarize current knowledge on associations between fluid administration and intra-abdominal pressure (IAP) and fluid management in patients at risk of intra-abdominal hypertension and abdominal compartment syndrome (ACS).METHODS: We performed a structured literature search from 1950 until May 2021 to identify evidence of associations between fluid management and intra-abdominal pressure not limited to any specific study or patient population. Findings were summarized based on the following information: general concepts of fluid management, physiology of fluid movement in patients with intra-abdominal hypertension, and data on associations between fluid administration and IAH.RESULTS: We identified three randomized controlled trials (RCTs), 38 prospective observational studies, 29 retrospective studies, 18 case reports in adults, two observational studies and 10 case reports in children, and three animal studies that addressed associations between fluid administration and IAH. Associations between fluid resuscitation and IAH were confirmed in most studies. Fluid resuscitation contributes to the development of IAH. However, patients with IAH receive more fluids to manage the effect of IAH on other organ systems, thereby causing a vicious cycle. Timing and approach to de-resuscitation are of utmost importance, but clear indicators to guide this decision-making process are lacking. In selected cases, only surgical decompression of the abdomen can stop deterioration and prevent further morbidity and mortality.CONCLUSIONS: Current evidence confirms an association between fluid resuscitation and secondary IAH, but optimal fluid management strategies for patients with IAH remain controversial.

AB - BACKGROUND: General pathophysiological mechanisms regarding associations between fluid administration and intra-abdominal hypertension (IAH) are evident, but specific effects of type, amount, and timing of fluids are less clear.OBJECTIVES: This review aims to summarize current knowledge on associations between fluid administration and intra-abdominal pressure (IAP) and fluid management in patients at risk of intra-abdominal hypertension and abdominal compartment syndrome (ACS).METHODS: We performed a structured literature search from 1950 until May 2021 to identify evidence of associations between fluid management and intra-abdominal pressure not limited to any specific study or patient population. Findings were summarized based on the following information: general concepts of fluid management, physiology of fluid movement in patients with intra-abdominal hypertension, and data on associations between fluid administration and IAH.RESULTS: We identified three randomized controlled trials (RCTs), 38 prospective observational studies, 29 retrospective studies, 18 case reports in adults, two observational studies and 10 case reports in children, and three animal studies that addressed associations between fluid administration and IAH. Associations between fluid resuscitation and IAH were confirmed in most studies. Fluid resuscitation contributes to the development of IAH. However, patients with IAH receive more fluids to manage the effect of IAH on other organ systems, thereby causing a vicious cycle. Timing and approach to de-resuscitation are of utmost importance, but clear indicators to guide this decision-making process are lacking. In selected cases, only surgical decompression of the abdomen can stop deterioration and prevent further morbidity and mortality.CONCLUSIONS: Current evidence confirms an association between fluid resuscitation and secondary IAH, but optimal fluid management strategies for patients with IAH remain controversial.

KW - abdominal compartment syndrome

KW - abdominal hypertension

KW - colloids

KW - crystalloids

KW - fluid therapy

KW - hypertonic

KW - maintenance

KW - open abdomen

KW - resuscitation

KW - sepsis

UR - http://www.scopus.com/inward/record.url?scp=85138673893&partnerID=8YFLogxK

U2 - https://doi.org/10.3390/life12091390

DO - https://doi.org/10.3390/life12091390

M3 - Review article

C2 - 36143427

SN - 2075-1729

VL - 12

JO - Life

JF - Life

IS - 9

M1 - 1390

ER -

Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review

Abstract

Keywords

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