A prospective study of abdominal pressure in cases of acute abdomen
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Aim and objectives: Intraabdominal hypertension is a graded phenomenon and can evolve to the end stage abdominal compartment syndrome.. The aim of this study was to know incidence of raised IAP in patient with acute abdomen admitted in ICU.To study if there is any difference in the prognostic ability of IAP max and IAP mean. To study the feasibility of an inexpensive indigenous method to commercially available device for IAP measurement. Methodology: This was a prospective study of 50 patients of either sex and any age of acute abdomen admitted in surgical ICU and who needed indwelling bladder catheterization. And every 6hrly intra abdominal pressure measurement done. Results and Observations: In this prospective study, we studied 50 patients of acute abdomen admitted in the Surgical ICU. IAH Maximum IAP measurements showed an incidence of IAH of 60% with ACS in 12%, while mean IAP values resulted in a lower incidence of 48% with ACS in 8%. This reflects that mean IAP values seem to down grade intra-abdominal pressure measurements and may result in some cases of IAH or ACS being missed. Therefore IAP max was better than IAP mean for predicting outcome.We used two sets of equipments to measure the IAP by the intra-vesical route. Both the equipments used have been approved as well validated methods for IAP measurement with none being better than the other. Conclusion: The incidence of IAH differed in relation to whether mean or maximal IAP values were used to define. Amongst IAP max and IAP mean, IAP max should be considered because IAP mean with reading taken 6 hourly can underestimate the incidence of IAH and ACS. The indigenous method of measurement of intra-abdominal pressure was effective and quiet inexpensive as well.
Authors and Affiliations
Namita Mahesh Prabhu, Neeta Deepak Bhurat
Keywords
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