PMID: 9529169Apr 7, 1998Paper

Effects of abdominal decompression on cardiopulmonary function and visceral perfusion in patients with intra-abdominal hypertension

The Journal of Trauma
M C ChangJ W Meredith

Abstract

Increased intra-abdominal pressure (IAP) compromises cardiopulmonary function and visceral perfusion. Our goal was to characterize acute changes in these subsystems associated with operative abdominal decompression. A series of 11 consecutive injured patients monitored with a pulmonary artery catheter and nasogastric tonometer in whom operative decompression was performed. Indications for decompression included oliguria or progressive acidosis despite aggressive resuscitation in the presence of elevated IAP (>25 mm Hg). Studied hemodynamic variables included pulmonary artery occlusion pressure (PAOP), right ventricular end-diastolic volume index (RVEDVI), and cardiac index (CI). Pulmonary variables included shunt fraction (Qs/Qt) and dynamic compliance (Cdyn). Visceral perfusion was assessed using hourly urine output 4 hours before and after decompression (UOP) and gastric intramucosal pH (pHi). Mean values before and after decompression were compared using the paired t test. Linear regression and Fisher's z transformation were used to evaluate the relationships between RVEDVI, PAOP, CI, and IAP. IAP was transduced via bladder pressures. Significance was defined as p < 0.05. Data are expressed as means+/-SD. IAP decreased with ...Continue Reading

References

May 1, 1976·The Journal of Surgical Research·J D Richardson, J K Trinkle
Jul 1, 1992·Archives of Surgery·L N DiebelR A Kline
Jul 1, 1987·The Journal of Surgical Research·C B Caldwell, J J Ricotta
Aug 1, 1974·Circulation·R D GentzlerJ H Gault
Feb 1, 1983·Annals of Surgery·W O RichardsW Reed
Nov 1, 1982·Annals of Surgery·P K HarmanS P Nolan
Mar 1, 1981·The Journal of Surgical Research·J KashtanJ W Holcroft
May 1, 1993·Annals of Surgery·J A MorrisK W Sharp
Jul 1, 1996·Archives of Surgery·M C ChangJ A Morris
Aug 1, 1996·The Surgical Clinics of North America·J M BurchR Franciose

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Citations

Jun 16, 2006·Der Anaesthesist·A SchachtruppV Schumpelick
May 9, 2001·Annales de chirurgie·T PottecherA Launoy
Feb 13, 2004·The Journal of Trauma·Michael L CheathamErnest F J Block
Feb 11, 2011·The Journal of Trauma·Ben L ZarzaurTimothy C Fabian
Mar 30, 2006·Critical Care : the Official Journal of the Critical Care Forum·Jan J De WaeleManu Lng Malbrain
Sep 23, 2008·World Journal of Gastroenterology : WJG·Sylvia SiebigChristian E Wrede
Apr 23, 2002·Intensive Care Medicine·Michael Sugrue
Apr 4, 2009·World Journal of Surgery·Zsolt J BaloghFrederick A Moore
Nov 17, 2012·The Surgical Clinics of North America·Ram Nirula
Mar 15, 2012·The Surgical Clinics of North America·Brett H Waibel, Michael F Rotondo
Dec 7, 2010·Enfermedades infecciosas y microbiología clínica·Enrique Piacentini, Carles Ferrer Pereto
Aug 18, 2004·Anaesthesia·J D Hunter, Z Damani
Jan 1, 2007·Acta Clinica Belgica·M L Cheatham, M L N G Malbrain
Jan 1, 2007·Acta Clinica Belgica·J Chiaka EjikeM Mathur
Jan 1, 2007·Acta Clinica Belgica·J De Dooy, J Ramet
Jul 13, 2011·Liver International : Official Journal of the International Association for the Study of the Liver·Deepak JoshiGeorg Auzinger
Apr 11, 2012·Journal of Veterinary Emergency and Critical Care·Melissa Fetner, Jennifer Prittie
Jan 19, 1999·Critical Care Clinics·F D Battistella
Jul 1, 1999·Clinics in Chest Medicine·A LioliosE Benjamin
Mar 5, 2013·Air Medical Journal·Julie SteinPeter V R Tilney
Mar 6, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H S Oliver-AllenG K Lee
Nov 22, 2001·Revista do Hospital das Clínicas·R de ClevaD J Machado
Jul 18, 2000·The Surgical Clinics of North America·V H Gracias, M D McGonigal
May 29, 1999·AACN Clinical Issues·M M Wright
Nov 22, 2000·The Journal of Trauma·M B ShapiroM F Rotondo
Feb 5, 1999·The Journal of Trauma·M L CheathamL D Nelson
Aug 28, 2010·Critical Care Medicine·Brett H Waibel, Michael F Rotondo
Jun 14, 2006·ANZ Journal of Surgery·Alan de Costa
Jun 27, 2006·Journal of Neurosurgical Anesthesiology·Konstantinos A KarakoulasMaria M Giala
Feb 14, 2007·Journal of the Royal Army Medical Corps·N HaldipurS Sanyal
Sep 24, 2008·International Wound Journal·Estas BovillUNKNOWN International Advisory Panel on Topical Negative Pressure
Aug 10, 2012·Annals of Intensive Care·Torsten KaussenAlexander Schachtrupp
Jul 12, 2016·The Journal of Trauma and Acute Care Surgery·Steven Gertjan StrangMichael H J Verhofstad
Nov 19, 2002·The Journal of Trauma·Preston R MillerMichael C Chang

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