2015, Number 03
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MediSan 2015; 19 (03)
Variations of the intraabdominal pressure as complication criterium in operated patients
Pajaro MM, León CL, Leyva PY, Ascanio RC
Language: Spanish
References: 18
Page: 337-344
PDF size: 154.04 Kb.
ABSTRACT
A descriptive case series study of 67 children with abdominal surgery, admitted in the
Intensive Care Unit of the Southern University Pediatric Hospital in Santiago de Cuba
was carried out from September, 2010 to August, 2014, in order to control the
magnitude and variations of the intraabdominal pressure to use them as criterion of
postoperative complication. The procedure was carried out in the first 24 hours of the
postoperative period and immediately before the reintervention which was necessary in
11 affected patients, for whom the vesical probe was used. The male sex (58.2%), the
age group 5-14 years and the anemia as the mostly associated disorder prevailed. The
most frequent cause in abdominal surgery was the acute appendicitis (32.8%), and the
patients with this disease turned out to be those who mostly needed reinterventions
(45.4%). The intraabdominal pressure in the immediate postoperative period was high
in all the cases with a second surgery.
REFERENCES
Malbrain ML. Abdominal pressure in the critically ill. Curr Opin Crit Care. 2000; 6:17-29.
Eddy V, Nunn C, Morris JA. Síndrome del compartimento abdominal. S North Am. 1997;77:797-807.
Schein M, Wittmann DH, Aprahamian CC, Condon RE. The abdominal compartment syndrome: the physiological and clinical consequences of elevated intra-abdominal pressure. J Am Coll Surg. 1995;180(6):745-53.
Burch JM, Moore EE, Moore FA, Franciose R. The abdominal compartment syndrome. Surg Clin North Am. 1996;76(4): 833-42.
Cheatham ML, Safcsak K. Intraabdominal pressure: a revised method for measurement. J Am Coll Surg. 1998;186(5):594-5.
Aragón Palmero FJ, Curbelo Pérez R, Candelario López R, Hernández Hernández JM. Nuevos conceptos en cirugía: Síndrome del Compartimiento Abdominal. Rev Cubana Cir. 1999;38(1):30-5.
Emerson H. Intraabdominal pressure. Arch Inter Med. 1911;7(6):754-84.
Bradley WE, Timm GW. Cystometry VI. Interpretation. Urology. 1976;7(2):231-5.
Rosin D, Ben Haim M, Yudich A, Ayalon A. Abdominal comparment syndrome. Harefuah. 1998;134(5):356-60, 423.
Ertel W, Oberholzer A, Platz A, Stocker R, Trentz O. Incidence and clinical pattern of the abdominal compartment syndrome after “damage-control” laparotomy in 311 patients with severe abdominal and/or pelvic trauma. Crit Care Med. 2000; 28(6):1747-53.
Shafik A, El-Sharkawy A, Sharaf WM. Direct measurement intra-abdominal pressure in various conditions. Eur J Surg. 1997;163(12): 883-7.
Goldin MD, Marshall D. Cuidados intensivos en el paciente quirúrgico. 2 ed. La Habana: Editorial Científico Técnica; 2007.
Moore EE, Thomas G. Orr Memorial lecture. Staged laparotomy for the hypothermia, acidosis, and coagulopathy syndrome. Am J Surg. 1996;172(5):405- 10.
Wetzel RC, Burns RC. Multiple trauma in children: critical care overview. Critical Care Med. 2002;30(11 suppl):468-77.
Behrman RE, Kliegman RM, Jenson HB. Nelson. Tratado de pediatría. T 2. 17 ed. Madrid: Elsevier; 2004.
García MA, Canetti Fernández S, Cobas Selma M, Hermelo Treche M. Colección Pediatría. La Habana: Editorial Pueblo y Educación; 1996. p. 4-23.
Dragsted L, Jörgensen J, Jensen NH, Bönsing E, Jacobsen E, Knaus WA, et al. Interhospital comparisons of patient outcome from intensive care: importance of lead-time bias. Crit Care Med. 1989;17(5):418-22.
Lemeshow S, Teres D, Avrunin JS, Gage RW. Refining intensive care unit outcome prediction by using changing probabilities of mortality. Crit Care Med. 1988;16(5): 470-7.