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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH
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ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016
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Volume 9 | Issue 3

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Paper Title: A PROSPECTIVE STUDY OF EVALUATION OF PRE AND POST OPERATIVE INTRA¬-ABDOMINAL PRESSURE MONITORING AND ITS ASSOCIATION WITH POST OPERATIVE MORBIDITY AND MORTALITY IN EMERGENCY LAPAROTOMY
Authors Name: Dr Malarvizhi C , Dr Velmurugan K , Dr Lalith Kumar L , Dr Rajamoorthi P , Dr Aswin D
Unique Id: IJSDR2304335
Published In: Volume 8 Issue 4, April-2023
Abstract: The incidence of complications arising from intra-abdominal pressure variation(1-5) in critically ill patients suffering from acute abdomen conditions with unconfirmed diagnosis is high and justifies increasing intra-abdominal pressure(IAP) measurement requests(1). Intra-abdominal pressure is defined as the steady state pressure concealed within the abdominal cavity and resulting from the interaction between the abdominal wall and viscera. IAP oscillates according to respiratory and abdominal wall resistance(1-7) . Intra-abdominal pressure levels upto 5mmHg are considered physiological in adults. In obesity intra-abdominal pressure may range from 10 to15 mmHg without pathophysiological significance. Intra abdominal hypertension is defined by IAP elevation above 12 mmHg in three consecutive measurements taken at 4 to 6 hours interval(8).Intra abdominal pressure may gradually progress to abdominal compartment syndrome with sustained IAP above 20 mmHg and associated with organ dysfunction or failure(1,4,9). Abdominal compartment syndrome is a late manifestation of increased intra abdominal pressure. The level of intra abdominal pressure at which abdominal compartment syndrome occurs is unknown. The diagnosis is often made on a clinical basis. The finding of a tense abdomen with increased airway pressures and oliguria despite normovolemia and adequate cardiac output should lead to the diagnosis of abdominal compartment syndrome. IAP measurements have been performed using a variety of techniques such as a Hamilton manometer in the stomach(10),trans rectally via a Millers-Abbott tube(10) or nasogastric tube(11,12),direct intra peritoneal puncture(13,14),using a veress needle(15) and using inferior vena cava pressure(16).In general terms there is high degree of correlation between intravesical(17),intraperitoneal(14),intragastric(18,11)and IVC pressures as a measure of IAP in both animals(19,20)and man(18). In clinical practice the most useful technique for measuring IAP involves the use of intravesical pressure(14). Various condition such as accumulation of fluid, flatus, feces increase the intra abdominal pressure and may lead to intra abdominal hypertension first and later abdominal compartment syndrome. Most of the body systems affected by intra abdominal hypertension and abdominal compartment syndrome, most markedly the renal , respiratory, cardiac and nervous systems. The prognosis of patient depends on the flow of blood to various organs which ultimately affected by ACS/IAH. Timely recognition of ACS/IAH, play a very important role in reducing morbidity or mortality of patients.
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Cite Article: "A PROSPECTIVE STUDY OF EVALUATION OF PRE AND POST OPERATIVE INTRA¬-ABDOMINAL PRESSURE MONITORING AND ITS ASSOCIATION WITH POST OPERATIVE MORBIDITY AND MORTALITY IN EMERGENCY LAPAROTOMY", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.8, Issue 4, page no.2161 - 2164, April-2023, Available :http://www.ijsdr.org/papers/IJSDR2304335.pdf
Downloads: 000336256
Publication Details: Published Paper ID: IJSDR2304335
Registration ID:205145
Published In: Volume 8 Issue 4, April-2023
DOI (Digital Object Identifier):
Page No: 2161 - 2164
Publisher: IJSDR | www.ijsdr.org
ISSN Number: 2455-2631

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