We read with great interest the article by Montorfano et al concerning increased intracranial
pressure during acute elevations in intra-abdominal pressure.
1
We congratulate the authors for their very interesting study, but we would like to
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References
- The Cushing reflex and the vasopressin-mediated hemodynamic response to increased intracranial pressure during acute elevations in intraabdominal pressure.Surgery. 2020; 167: 478-483
- Echographic study of the optic nerve during anesthesia.Orbit. 1985; 4: 231-234
- Optic nerve evaluation in idiopathic intracranial hypertension.Am J Neuroradiol. 2019; 40: E36
- Optic nerve ultrasound: artifacts and real images.Intensive Care Med. 2009; 35: 1488-1489
- Ultrasound optic nerve sheath diameter evaluation in patients undergoing robot-assisted laparoscopic pelvic surgery.J Robot Surg. 2019; 13: 709-7101
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Publication history
Published online: March 19, 2022
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- The Cushing reflex and the vasopressin-mediated hemodynamic response to increased intracranial pressure during acute elevations in intraabdominal pressureSurgeryVol. 167Issue 2
- PreviewAbdominal compartment syndrome has been linked to detrimental hemodynamic side effects that include increased intracranial pressure and diminished renal function, but the mechanisms behind this continue to be elucidated. In this study, we sought to investigate any direct association between acute elevations in intra-abdominal pressure and intracranial hypertension during experimentally induced abdominal compartment syndrome and between acutely elevated intracranial pressure and the hemodynamic response that might be elicited by a vasopressin-induced Cushing reflex affecting urine osmolality and urine output.
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