Evaluation of the Effects of Elevated Intra-abdominal Pressure on the Respiratory Mechanics in Mechanically Ventilated Patients
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2013, Vol 6, Issue 3
Abstract
Aim: The aim of the study was to evaluate the effect of different grades of increased intraabdominal hypertension (IAH) on the respiratory mechanics. Material and Methods: In this prospective observational clinical study, the influence of intaabdominal pressure (IAP) on respiratory parameters was assessed in 20 patients requiring mechanical ventilation with IAH grade I, 20 patients with IAH grade II, and 20 patients with grade III IAH. Respiratory parameters were measured and recorded by a computerized system incorporated into the mechanical ventilator. Results: A statistical difference was noticed between IAP and the dynamic respiratory parameters among the groups. Regarding the respiratory parameters positive correlation between the IAP on one hand, and peak airway pressure and resistance on the other hand was notable: IAP increased and so did pressures and the resistance in the respiratory pathways. Also the correlation between IAP, on one hand and the compliance and peripheral saturation with oxygen on the other hand, was negative. Referring the mean pulmonary pressure there wasn’t correlation among IAP and mean pulmonary pressure in the groups. Conclusion: IAP leads to impairment of the respiratory mechanics. An increase of the level of IAP is followed by an increase in the altering effects upon the respiratory system.
Authors and Affiliations
Aleksandra Gavrilovska-Brzanov| University Clinic of Anesthesiology, Reanimation and Intensive Care, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia, Zorka Nikolova| University Clinic of Anesthesiology, Reanimation and Intensive Care, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia, Nikola Jankulovski| University Clinic for Digestive Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia, Mirjana Sosolceva| University Clinic of Anesthesiology, Reanimation and Intensive Care, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia, Gordana Taleska| University Clinic of Anesthesiology, Reanimation and Intensive Care, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia, Maja Mojsova-Mijovska| University Clinic of Anesthesiology, Reanimation and Intensive Care, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia, Marija Jovanovski-Srceva| University Clinic of Anesthesiology, Reanimation and Intensive Care, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia, Darko Angusev| University Clinic of Anesthesiology, Reanimation and Intensive Care, KARIL, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia, Darko Sazdov| ACIBADEM-Sistina, Anesthesiology, Skopje, Republic of Macedonia, Nikola Brzanov| University Clinic of Surgery, ER Department, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Republic of Macedonia
Keywords
Related Articles
- EP ID EP8940
- DOI 10.3889/MJMS.1857-5773.2013.0306
- Views 304
- Downloads 20
Gonadotoxicity Evaluation of Oral Administration of Zidolam in Male Albino Rats
Aim. Zidolam is an antiretroviral combination therapy consisting of zidovudine and lamivudine for the treatment of Human Immunodeficiency Virus (HIV) infection. The objective of this research is to investigate the rela...
Calf Muscle (Triceps Surae Complex) Thickness in an Adult Nigerian Population: An Imaging Based Normographic Study
Objective: The thickness of the triceps surae muscle complex was assessed by ultrasound in a young adult Nigerian population. Its relationship with some anthropometric variables and sexual dimorphism was also assessed....
Effects of Rosiglitazone on Metabolic Parameters and Adiponectin Levels in Fructose-Fed Rats
Aim. To investigate the effect of the peroxisome proliferators-activator receptor gamma agonist, rosiglitazone, on metabolic parameters and adiponectin levels in an animal model of the metabolic syndrome. Material and...
The Increased Cesarean Section Incidence - Is There a Clinical Justification?
Aim: The aim of this study is to overview the unrealistically high incidence of surgically completed deliveries through the frequency of deliveries completed by Caesarean section at the Gynecology and Obstetrics Clinic...
A Case of Acquired Hemophilia A with Maxillary Osteitis
Acquired hemophilia A (AHA), is a rare bleeding disorder with an incidence of approximately 1 per million/year.The disease is caused by the development of autoantibodies directed against clotting factor VIII and associ...