Role of intra abdominal pressure in predicting outcome in cases of acute abdomen
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Aim and objectives: The aim of this study was to know the role of intra-abdominal pressure in predicting outcome in cases of acute abdomen To determine the prognostic value of IAP measurements with respect to the association between IAH and development of new organ failure. To study the association between IAH and duration of ICU stay. Methodology: This was a prospective study of 50 patients of either sex and any age of acute abdomen admitted in surgical ICU of our hospital. To determine IAP we had used bladder pressure measurement method and IAP was measured every 6 hourly. Results and Observations: 30 patient developed IAH (60%) when IAP max was considered. Out of these 30 patients, 6(12%) developed ACS and 12% patients succumbed. With IAP mean, IAH was 48% i.e. (24/50). And out of these 24 cases 4 developed ACS. When extrapolated to the total no. of cases 8% (n=4/50) developed ACS. 28% of patients had failure of the cardiovascular system, 28% had renal failure and 20% patients had respiratory failure The increase in IAP was significantly associated with organ failure. ICU stay was maximum 35 days where pressure was maximum i.e.25mmHg if IAP max and 24 mmHg if IAP mean was considered. And ICU stay was minimum 1day where minimum pressure was 4 mmHg when IAP max and 3.5 mmHg when IAP mean was considered. Conclusion: The development of IAH and ACS is of extreme importance in surgical practice and in care of critically ill patients; because of the impact of increased IAP on end-organ function.IAP is significantly linked to the patient’s outcome and significantly associated with prolonged ICU stay.
Authors and Affiliations
Neeta Deepak Bhurat, Namita Mahesh Prabhu
Keywords
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