Stručni rad

https://doi.org/10.20471/acc.2016.55.02.20

Influence of intra-abdominal pressure on the basic vital functions and final treatment outcome

Petar Svorcan orcid.org/0000-0001-7627-812X ; Department of Gastroenterology and Hepatology, Medical Faculty, University of Belgrade, Belgrade, Serbia
Maja Stojanović ; Department of Anesthesiology and Intensive Care, Zvezdara Clinical Center, Belgrade, Serbia
Predrag Stevanović ; Department of Anesthesiology and Intensive Care, Medical Faculty, University of Belgrade, Belgrade, Serbia
Aleksandar Karamarković ; Emergency Department, Clinical Center of Serbia, Medical Faculty, University of Belgrade, Belgrade, Serbia
Radmilo Janković ; Department of Anesthesiology and Intensive Care, Medical Faculty, University of Niš, Niš, Serbia
Nebojša Ladjević ; Department of Anesthesiology and Intensive Care, Medical Faculty, University of Belgrade, Belgrade, Serbia

Sažetak

The purpose of the study was to point to the importance of measuring intra-abdominal pressure (IAP) and of early recognition of the consequences of increased IAP on basic vital functions. Measurement of IAP via urinary bladder was conducted every 12 hours in 70 surgical patients with acute abdominal syndromes not previously operated on. Based on the measured IAP values, all patients were divided into groups of patients with normal IAP values (n=20) and patients with increased IAP values (n=50) . Vital functions and basic laboratory analysis were monitored and the values obtained were compared with IAP in both patient groups. A statistically significant difference was found in body weight, body mass index, urine output, creatinine, urea, heart rate, partial pressure of oxygen (PaO2) and partial pressure of carbon dioxide (PaCO2) between patients with
normal and increased IAP values. The increase in IAP values was found to be associated with an increase in PaCO2, respiratory rate, peak inspiratory pressure, central venous pressure, heart rate, Acute
Physiology, Age and Chronic Health Evaluation II score, mortality rate, creatinine and urea values, and number of days of treatment in the intensive care unit. At the same time, the values of PaO2, blood
oxygen saturation, diuresis and abdominal perfusion pressure were declining. IAP measurement is an old, cost-effective, reliable technique that is easy to perform and should be applied in all high risk
patients.

Ključne riječi

Critical illness; Intra-abdominal hypertension; Monitoring, physiologic; Compartment syndromes

Hrčak ID:

164883

URI

https://hrcak.srce.hr/164883

Datum izdavanja:

1.6.2016.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.764 *