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Deya Prastika
Product Specialist MS
IDS Medical Systems



Definition of Terms
Intra-abdominal Pressure (IAP): is the pressure
within the abdominal cavity. Normal IAP is 1 - 8
Intra-abdominal hypertension (IAH): is defined
as an IAP greater than 12mmHg.
Abdominal compartment syndrome (ACS): is
defined as an IAP >20mmHg and the onset of new
organ failure.

Risk factors
Diminished abdominal wall compliance
Major trauma & burns; acute respiratory failure;
abdominal surgery
Increased intra-luminal contents
Gastropareisis; ileus; pseudo obstruction
Increased abdominal contents
oAscites/liver dysfunction;
Capillary leak/fluid resuscitation
Acidosis (pH<7.2); hypotension;
hypothermia(<33); massive fluid resuscitation;
poly transfusion; coagulopathy; sepsis, major
trauma & burns.


Procedure for IAP monitoring

Equipment required
Foley urine catheter of appropriate size
Urine bag for drainage of urine
2 x 3 way tap
Connector (leur lock to catheter tip)
Pressure transducer and tubing
50ml leur lock syringe
10ml or 30ml leur lock syringe
Sterile 0.9% sodium chloride

Measurement of IAP

Video avalable on youtube :

Special Considerations
0.9% Sodium Chloride should only be used to
fill the patient's bladder when undertaking an
intra abdominal pressure measurement.
The tubing must be free of kinks and air bubbles.
All transducer monitoring lines should be clearly
Transducer sets should be changed every 72
All connections should be securely luer locked.
All interventions must be carried out using an
aseptic technique

Infection of the bladder is a complication of this
procedure. Symptoms vary depending on the age of
the child but include:
General malaise
Local pain

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