PMID- 17469708
OWN - NLM
STAT- MEDLINE
DCOM- 20070601
LR  - 20160314
IS  - 1784-3286 (Print)
IS  - 1784-3286 (Linking)
VI  - 62 Suppl 1
DP  - 2007
TI  - Hepatic function and non-invasive hepatosplanchnic monitoring in patients with 
      abdominal hypertension.
PG  - 113-8
AB  - A better understanding of intra-abdominal hypertension with relation to the liver 
      is vital to the management of all forms of liver pathophysiology. Supporting good 
      hepatic function within the critically ill patient is important not only in 
      maintaining synthetic function, but also in avoiding the multi-organ 
      complications of liver dysfunction. The resulting reduction in hepato-splanchnic 
      blood flow (HSBF) observed with increasing intra-abdominal pressure has been 
      clearly documented and seen to be exaggerated in animals with established liver 
      disease. Unfortunately the tools required to measure this, remain difficult to 
      apply routinely in the clinical setting and as such goal directed therapy to 
      specifically improve the hepatosplanchnic circulation remains elusive. Given the 
      documented effects of lAP on HSBF and the relatively high incidence of 
      intra-abdominal hypertension and the abdominal compartment syndrome within "liver 
      patients" as a whole, close attention to IAP and timely correction by appropriate 
      medical or surgical means would appear to be essential.
FAU - Cresswell, A B
AU  - Cresswell AB
AD  - Institute of Liver Studies, Division of Transplantation and Cell Based Therapy, 
      Kings College London School of Medicine, Kings College Hospital, London, UK.
FAU - Wendon, J A
AU  - Wendon JA
LA  - eng
PT  - Journal Article
PL  - England
TA  - Acta Clin Belg
JT  - Acta clinica Belgica
JID - 0370306
SB  - IM
MH  - Abdomen/*physiopathology
MH  - Hepatic Artery/*physiopathology
MH  - Humans
MH  - Hypertension/*physiopathology
MH  - Liver/*blood supply/*physiopathology
MH  - Patient Care/*methods
MH  - Splanchnic Circulation/*physiology
EDAT- 2007/05/02 09:00
MHDA- 2007/06/02 09:00
CRDT- 2007/05/02 09:00
PHST- 2007/05/02 09:00 [pubmed]
PHST- 2007/06/02 09:00 [medline]
PHST- 2007/05/02 09:00 [entrez]
PST - ppublish
SO  - Acta Clin Belg. 2007;62 Suppl 1:113-8.