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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

The influence of fluid balance on intra-abdominal pressure after major abdominal surgery

Clinic of Anesthesiology and Intensive Care, Vilnius University, Lithuania
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Medicina 2008, 44(6), 421; https://doi.org/10.3390/medicina44060055
Received: 4 March 2008 / Accepted: 10 June 2008 / Published: 15 June 2008
Objective. The objectives of this study were to determine the incidence of intraabdominal hypertension in patients after major abdominal surgery and to evaluate the correlation of intra-abdominal pressure with fluid balance and systemic inflammatory response syndrome.
Material and methods
. This is a prospective observational study. Patients, admitted to intensive care unit after major abdominal surgery, were included into the study. Intra-abdominal pressure was measured via a urinary bladder catheter twice daily. Twenty-four-hour fluid balance and systemic inflammatory response syndrome criteria met by the patients were collected daily.
Results
. Seventy-seven patients were included into the study. Intra-abdominal hypertension was diagnosed in about 40% of the patients in the early postoperative period. The study showed a significant positive correlation between 24-hour fluid balance and daily changes in intraabdominal pressure. A significant association was also seen between the number of positive systemic inflammatory response syndrome criteria and intra-abdominal pressure, and intraabdominal pressure was significantly higher in patients with systemic inflammatory response syndrome. Besides, patients with intra-abdominal hypertension on the first postoperative day had longer length of stay in the intensive care unit.
Conclusions. Intra-abdominal hypertension occurs commonly in patients after major abdominal surgery, and patients with positive 24-hour fluid balance and/or systemic inflammatory response syndrome are at risk of having higher intra-abdominal hypertensio
Keywords: intra-abdominal pressure; intra-abdominal hypertension; fluid balance; systemic inflammatory response syndrome intra-abdominal pressure; intra-abdominal hypertension; fluid balance; systemic inflammatory response syndrome
MDPI and ACS Style

Šerpytis, M.; Ivaškevičius, J. The influence of fluid balance on intra-abdominal pressure after major abdominal surgery. Medicina 2008, 44, 421.

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