Abdominal Pressure as a Safety Criterion of Fractional Peritoneal Lavage
https://doi.org/10.15360/1813-9779-2008-4-60
Abstract
Objective: to reduce the number of complications due to fractional peritoneal lavage, by monitoring and dynamically correcting abdominal pressure. Subjects and methods. The results of treatment in 169 patients with acute pancreatitis were analyzed. There were two groups: a study group (n=94) in which abdominal pressure was measured and abdominal hypertension corrected and a control one (n=75) in which abdominal pressure was not measured (according to the archive materials of case histories). The abdominal pressure was indirectly determined measuring the urinary bladder pressure by the procedure of I. L. Kron, 1984. Conclusion. Elevation of abdominal pressure over 18.9±1.7 mm Hg resulted in clinical deterioration in 100% of cases. Correction of abdominal pressure during treatment could reduce the incidence of pneumonias by 12.8%, increase the safety of fractional peritoneal lavage, by preventing the development of arterial hypotension by 9.6% and progressive dyspnea by 19.1%, and worsen pain syndrome by 13.9%. Key words: acute necrotic pancreatitis, abdominal pressure, fractional peritoneal lavage, abdominal hypertension.
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For citations:
Lyamin A., Nikiforov Yu.V., Moroz V. Abdominal Pressure as a Safety Criterion of Fractional Peritoneal Lavage . General Reanimatology. 2008;4(4):60. (In Russ.) https://doi.org/10.15360/1813-9779-2008-4-60
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