Dolores-Velásquez R, Sauri-Ic LF, Sánchez-Lozada R

Language: Spanish
References: 19
Page: 459-463
PDF size: 54.89 Kb.

ABSTRACT

Introduction: Abdominal compartment syndrome (ACS) is an entity that represents a latent problem in the patient subjected to laparotomy.
Objective: To evaluate the effectiveness of decompressive treatment of ACS. Material and methods: We studied patients subjected to descompressive treatment for diagnosis of SCA from May 1 to November 30, 2001 prospectively. We evaluated intraabdominal pressure (IAP), peak pressure of air way (J)PVA), oxygen available index (OAi), ventilation-perfussion index and uresis, before, after, and at 48 h of decompressive surgery. The data were treated statistically with paired student t test taking as significant p<0.05 using percentages for qualitative variables and average with standard deviation for quantitative variables.
Results: We included 10 patients; three died (30%). Alone it VP& it descended significantly after compression (1><0.05). Uresis, PPVA, OlA and VPI were carried out 48 h of decompressive surgery.
Conclusions: is effective in ACS, showing immnediate decreased of IAP and improvement of the hemodynamic variables after 48 h post-surgery.

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