Postoperative Intra-abdominal Pressure and Renal Function After Liver Transplantation

Abstract
ALTHOUGH THE measurement of intra-abdominal pressure (IAP) is not new,1-5 its importance for critically ill patients is still under investigation.6,7 The association between renal impairment and increased IAP was first reported in 1876,8 but little attention was given to it and our understanding of the clinical significance of IAP remained poor until the second half of the past century, when numerous studies6,7 revealed the deleterious effects of high IAP on almost every organ and function within the abdominal cavity. Evidence of the clinical importance of intra-abdominal hypertension (IAH) has increased more recently,7-12 but, possibly because of some skepticism concerning its value,13 IAP is still not routinely measured in critically ill patients.

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