The influence of fluid balance on intra-abdominal pressure after major abdominal surgery
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
Šerpytis, M.; Ivaškevičius, J. The influence of fluid balance on intra-abdominal pressure after major abdominal surgery. Medicina 2008, 44, 421.
Šerpytis M, Ivaškevičius J. The influence of fluid balance on intra-abdominal pressure after major abdominal surgery. Medicina. 2008; 44(6):421.Chicago/Turabian Style
Šerpytis, Mindaugas; Ivaškevičius, Juozas. 2008. "The influence of fluid balance on intra-abdominal pressure after major abdominal surgery." Medicina 44, no. 6: 421.