Abstract
Abdominal compartment syndrome and intra-abdominal hypertension cause morbidity and mortality. Body mass index (BMI) may affect intra-abdominal pressure (IAP). Knowledge of the baseline IAP in the obese and the effect of BMI are not clearly defined. IAPs were measured in 37 morbidly obese patients undergoing elective gastric bypass. Measurements were obtained via bladder pressure using a standard technique. IAP was measured after intubation (P1) and postoperatively after extubation (P2). Data collected included age, gender, BMI, previous surgeries, comorbidities, IAP, and laparoscopic versus open procedure. Mean BMI was 47.7 kg/m (range, 37-71.8 kg/m), and mean age was 45 years (range, 32-64 years). P1 mean was 9.4 mm Hg +/- 0.6 mm Hg, and P2 mean was 10.0 mm Hg +/- 0.6 mm Hg. Laparoscopic versus open procedure was unrelated to postoperative IAP. Previous surgeries and comorbidities were unrelated to IAP. P1 increased as BMI increased. For each unit increase of BMI, IAP increased by 0.14 mm Hg +/- 0.07 mm Hg (p = 0.05). Higher BMI and age were independent predictors of increased P2, with IAP increased 0.23 mm Hg +/- 0.07 mm Hg for each unit BMI (p = 0.0015) and 0.20 mm Hg +/- 0.06 mm Hg for each year increase in age (p = 0.0014...Continue Reading
References
Jan 1, 1997·Journal of Internal Medicine·H SugermanL Wolfe
Nov 5, 1999·JAMA : the Journal of the American Medical Association·A H MokdadJ P Koplan
Dec 23, 1999·The Journal of Trauma·R A MaxwellK A Davis
Oct 9, 2001·The Surgical Clinics of North America·H J Sugerman
Oct 9, 2002·JAMA : the Journal of the American Medical Association·Katherine M FlegalClifford L Johnson
Jun 12, 2003·Archives of Surgery·Zsolt BaloghFrederick A Moore
Jan 14, 2004·Chest·P S SriramJohn G Mastronarde
Feb 6, 2004·Intensive Care Medicine·Manu L N G MalbrainLuciano Gattinoni
Apr 14, 2004·Chest·Cyril GoulenokAlain Cariou
Oct 14, 2004·Obesity Surgery·Thomas S HellingPatricia Ryan
May 28, 2005·The Journal of Trauma·Michael S O'MaraPhilip F Caushaj
Sep 6, 2005·The Journal of Surgical Research·William S CobbB Todd Heniford
Nov 2, 2005·Obesity Surgery·David M LambertR Armour Forse
Nov 30, 2005·Current Gastroenterology Reports·Leena Khaitan, C Daniel Smith
Feb 18, 2006·Critical Care Medicine·Stanley A NasrawayEdward Saltzman
Sep 13, 2006·Intensive Care Medicine·Manu L N G MalbrainAlexander Wilmer
Mar 8, 2007·Digestive Diseases and Sciences·Eldo E FrezzaMitchell S Wachtel
Mar 23, 2007·Intensive Care Medicine·Michael L CheathamAlexander Wilmer
Apr 5, 2007·The Medical Journal of Australia·Cheng-Hon YapMichael Yii
Sep 27, 2007·Journal of Intensive Care Medicine·Elizabeth L DaughertyBarry D Fuchs
Apr 14, 2009·World Journal of Surgery·Michael L Cheatham
Jan 1, 2007·Acta Clinica Belgica·M L N G MalbrainM Cheatham
Citations
Oct 4, 2011·Neurosurgical Focus·Patrick ShihTyler R Koski
Oct 24, 2013·BioMed Research International·Alessandro CinaFranco Cavaliere
Mar 27, 2016·Critical Care Clinics·Patrick MalusoBabak Sarani
Jun 27, 2012·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·T ThubertJ-F Hermieu
Jun 10, 2015·Surgery·Barbara F NadaletoMarco G Patti
Dec 18, 2015·British Journal of Anaesthesia·D ChiumelloL Gattinoni
Aug 29, 2013·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·E TuckerM Fox
Nov 28, 2015·Chinese Medical Journal·Shu-Lin RenRachel Jen
Mar 26, 2013·Journal of the American College of Surgeons·Robert D Winfield, Grant V Bochicchio
Jul 9, 2016·Journal of Neurosurgery·Claudia CravenLaurence Watkins
Nov 1, 2012·Journal of Veterinary Emergency and Critical Care·Shelley E Smith, Allison A Sande
Sep 15, 2017·International Urogynecology Journal·Tania TianJennifer Kruger
Dec 15, 2010·Current Opinion in Critical Care·Paolo PelosiPatricia R M Rocco
Dec 30, 2014·Transplantation·Jerome M LaurenceMark S Cattral
Mar 26, 2015·The Journal of Trauma and Acute Care Surgery·Mohamed GharibTahar Hajri
Aug 19, 2020·Obesity Surgery·Saeid Shams NosratiMohammad Kermansaravi
May 14, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K NagayoshiM Nakamura
Oct 22, 2019·Spinal Cord Series and Cases·Hyeong-Cheol OhJeong-Yoon Park
Oct 12, 2019·World Journal of Surgery·Marco CeresoliUNKNOWN IROA study group
Jun 10, 2015·World Journal of Emergency Medicine·Yuan-Zhuo ChenHu Peng
May 16, 2020·Spinal Cord Series and Cases·Hyeong-Cheol OhJeong-Yoon Park
Apr 30, 2021·Medical Devices : Evidence and Research·Hao TangZhengguo Wang