Monitoring intra‐abdominal pressure after liver transplantation in children

IAH after LTX can impair perfusion and threaten graft viability. This study aimed to assess the feasibility of longitudinal IAP measurements as an IAH screening method in children after LTX. A cohort of 23 children with a mean age (range) 3.1 (3 months–14 years) who underwent LTX between May 2017 an...

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Bibliographic Details
Published in:Pediatric transplantation 2019-11, Vol.23 (7), p.e13565-n/a
Main Authors: Deindl, Philipp, Wagner, Jula, Herden, Uta, Schulz‐Jürgensen, Sebastian, Schild, Raphael, Vettorazzi, Eik, Bergers, Marlies, Keck, Maike, Singer, Dominique, Fischer, Lutz, Herrmann, Jochen
Format: Article
Language:English
Subjects:
abdominal compartment syndrome
abdominal perfusion pressure
Children
Compartment syndrome
Doppler ultrasound
Expenditures
intra‐abdominal hypertension
Liver transplantation
Liver transplants
Nursing
Perfusion
temporary abdominal closure
Transplants & implants
vascular flow
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Summary:IAH after LTX can impair perfusion and threaten graft viability. This study aimed to assess the feasibility of longitudinal IAP measurements as an IAH screening method in children after LTX. A cohort of 23 children with a mean age (range) 3.1 (3 months–14 years) who underwent LTX between May 2017 and February 2018 were evaluated retrospectively. Longitudinal IAP measurements were compared to bedside Doppler US monitoring data. In total, 425 IAP measurements and 257 US examinations were performed. The mean ± SD (range) time expenditure for IAP measurement was 1.9 ± 0.4 (0.5‐3.2) minutes. The mean post‐operative IAP was 7.9 ± 3.6 (1‐25) mm Hg. IAH (IAP ≥ 10 mm Hg) was noted in 102 (24%) of 257 measurements. Agitation had a significant impact on IAP (estimate: 9.3 mm Hg, CI: 6.72‐11.97, P 
ISSN:1397-3142
1399-3046
DOI:10.1111/petr.13565