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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2020; 39(03): 189-191
DOI: 10.1055/s-0040-1713593
Review Article | Artigo de Revisão

Intracranial Hypertension and Intra-abdominal Pressure. Is it Worth Measuring?

Hipertensão intracraniana e pressão intra-abdominal. Vale a pena mensurar?
Simonei Bonatto
1   Postgraduation program, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil
,
Danielle Pacheco Matias
2   Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil
,
Leonardo Christiaan Welling
3   Neurological Surgery Department, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brazil
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Abstract

Patients with refractory intracranial hypertension who have already undergone all the measures recommended by the current guidelines can benefit from having their intra-abdominal pressure monitored since its increase generates hemodynamic repercussions and secondary elevation of intracranial pressure. In this context, a bibliographic research was performed on PubMed with the terms intra-abdominal pressure, abdominal compartment syndrome, intracranial pressure, intracranial hypertension. Altogether, 146 articles were observed, 87 of which were from the year 2000, and only 15 articles were considered relevant to the topic. These studies indicate that patients with refractory intracranial hypertension can benefit from the measurement of intraabdominal pressure, since there is evidence that an increase in this pressure leads to organic dysfunctions with an indirect impact on cerebral venous return and, consequently, an increase in intracranial pressure. In those who underwent decompression laparotomy, direct effects were observed in reducing intracranial hypertension and survival.

Resumo

Pacientes com hipertensão intracraniana refratária que já foram submetidos a todas as medidas preconizadas pelas diretrizes atuais podem se beneficiar do monitoramento da pressão intra-abdominal, uma vez que seu aumento gera repercussão hemodinâmica e elevação secundária da pressão intracraniana. Nesse contexto, realizou-se uma pesquisa bibliográfica no PubMed com os termos “intra-abdominal pressure,” “abdominal compartment syndrome,” “intracranial pressure”; “intracranial hypertension.” Ao todo, foram observados 146 artigos, dos quais 87 eram a partir do ano 2000, e apenas 15 artigos foram considerados relevantes ao tópico. Esses estudos indicam que pacientes com hipertensão intracraniana refratária podem se beneficiar da medida da pressão intra-abdominal, uma vez que existem evidências de que o aumento desta leva a disfunções orgânicas com impacto indireto no retorno venoso cerebral e, consequentemente, no aumento da pressão intracraniana. Naqueles que foram submetidos à laparotomia descompressiva, observou-se efeitos diretos na redução da hipertensão intracraniana e sobrevida.

Keywords

intra-abdominal pressure - abdominal compartment syndrome - intracranial pressure - intracranial hypertension

Palavras-chave

pressão intra-abdominal - síndrome do compartimento abdominal - pressão intracraniana - hipertensão intracraniana


Publication History

Received: 03 April 2020

Accepted: 12 May 2020

Article published online:
23 June 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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