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IAP MONITORING

IAP MONITORING. A low threshold for early use of IAP monitoring is essential A standardized technique and infusion volume will be defined to facilitate comparison of techniques and results Continuous IAP monitoring is the next logical step. APP MONITORING. APP is more important than IAP alone

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IAP MONITORING

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  1. IAP MONITORING • A low threshold for early use of IAP monitoring is essential • A standardized technique and infusion volume will be defined to facilitate comparison of techniques and results • Continuous IAP monitoring is the next logical step

  2. APP MONITORING • APP is more important than IAP alone • Resuscitation should be based upon APP • Minimize IAP • Avoid overresuscitation • Decompress abdomens early • Maximize APP • Judicious fluid resuscitation • Vasoactive medications to optimize MAP • Decompress if fail to maintain APP > 60 mmHg

  3. USE YOUR BRAIN! • Pay close attention to the patient • Use PAOP / CVP with caution • Volumetric parameters are superior to intracardiac filling pressures

  4. THE FORGOTTEN ORGANS • We need to remember the other organs and monitor them for malperfusion • Brain ICP • Gut PrCO2 • Liver ICG clearance • Kidney ???

  5. THE FUTURE • We need improved monitoring techniques that allow an assessment of each organ system • Regional perfusion adequacy is mandatory • We all have a lot to learn and even more to develop in the years to come

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