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Original Research

Open Access

Clinical significance of intraabdominal pressure and abdominal perfusion pressure in patients with acute abdominal syndrome

  • NATAŠA KOVAČ1
  • MLADEN ŠIRANOVIĆ1
  • BRANKA MAZUL-SUNKO1

1Department of Anaesthesiology and Intensive Care, University Hospital “Sestre Milosrdnice”

DOI: 10.22514/SV22.102007.3 Vol.2,Issue 2,October 2007 pp.14-17

Published: 20 October 2007

*Corresponding Author(s): NATAŠA KOVAČ E-mail: nkovac@inet.hr

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Abstract

Elevated intraabdominal pressure (IAP) has been claimed to play a role in abdominal compartment syndrome. We assessed the correlation between the values of IAP, abdominal perfusion pressure (APP) and clinical scoring systems including SIRS, MODS and APACHE II and the patients’ survival rate in patients admitted to the ICU with acute abdomen due to ileus, intestinal perforation, peritonitis and trauma.

We measured IAP and APP in 50 surgical patients. In this study the IAP was measured in a non-invasive manner via urinary bladder pressure. The APP was calculated as the difference between mean arterial pressure and IAP values.

A significantly higher IAP was found in the non-survivors’ group in comparison with the survivors’ group. On the other hand, the APP inversely correlated with disease severity scores including SIRS, MODS and APACHE II, whereas IAP values did not show any correlation to these clinical parameters. These findings suggest that IAP and APP may be useful tools in the clinical evaluation of patients with acute abdomen.

Keywords

intraabdominal pressure, abdominal perfusion pressure, acute abdominal syndrome

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NATAŠA KOVAČ,MLADEN ŠIRANOVIĆ,BRANKA MAZUL-SUNKO. Clinical significance of intraabdominal pressure and abdominal perfusion pressure in patients with acute abdominal syndrome. Signa Vitae. 2007. 2(2);14-17.

URL:

https://www.signavitae.com/articles/10.22514/SV22.102007.3

References

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2. Malbrain MLNG, Jones F. Intra-abdominal pressure measurement Techniques. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Spugrue M, editors. Abdominal Compartment Syndrome. Landes Bioscience; 2006. pp. 19-20.

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4. Malbrain MLNG, Deeren D, De Potter TJR. Intra-abdominal hypertension in the critically ill: it is time to pay attention. Curr Opin Crit Care 2005;11:156-171.

5. Walker J, Criddle LM. Pathophysiology and management of abdominal compartment syndrome. American Journal of Critical Care 2003 Jul;12(4): 367-371.

6. World Society of the Abdominal Compartment Syndrome (WSACS). Intra-abdominal Hypertension (IAH) assessment algorithm [online]. 2007 July 7 [cited 2007 July 20]; Available from: URL:http://www.wsacs.org/

7. Kron IL, Harman, Nolan SP. The measurement of intraabdominal pressure as a criterion for abdominal re-exploration. Ann Surg 1984; 199:28-30.

8. Malbrain MLNG. Is it wise not to think about intraabdominal hypertension in the ICU. Curr Opin Crit Care 2004;10:132-45.

9. De Waele JJ, Hoste EAJ, Malbrain MLNG. Decompressive laparotomy for abdominal compartment syndrome-a critical analysis.

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