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2000, Number 3

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Med Crit 2000; 14 (3)

Hemodynamic and ventilatory effects of intraabdominal pressure

Olvera GCI, Miguel Ángel Vázquez García, Jesús Martínez Sánchez, José Javier Elizalde González, Juvenal Franco Granillo

Language: Spanish
References: 11
Page: 90-96
PDF size: 170.03 Kb.


ABSTRACT

Objective: To study the hemodynamic and respiratory parameters of abdominal compartment syndrome (ACS).
Design: Retrospective study.
Setting: ICU of a tertiary care hospital of Mexico City.
Patients: All the patients with ACS admitted to the ICU during one year were enrolled.
Interventions: None.
Measurements and main results: Eight ACS patients (mean age 51.85 ± 11.98 yrs) assisted with mechanical ventilation were studied. Intra-abdominal pressure and respiratory and hemodynamic parameters were performed in all the patients before and after abdominal decompression. A decrease of intra-abdominal pressure (30 ± 6.76 to 17.63 ± 8.38 CMH2O, p ‹ 0.006), PMP (41.38 ± 9.62 to 31.13 ± 7.57 mmHg, p ‹ 0.03), PIP (33.38 ± 8.05 to 31 ± 7.75, p = 0.083) and an increase of PaP2/FIO2 (104 ± 51 to 216 ± 83, p ‹ 0.018) and cardiac index (4.29 ± 0.98 to 5.66 ± 0.88 L/min, p ‹ 0.01).
Conclusion: Abdominal decompression improves some respiratory and hemodynamic parameters in patients with ACS.


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