Intra-Abdominal Pressure Monitoring and Outcome in Patients With Peritonitis

Jampani, Sambasiva Rao; Vattikonda, Srikanth; Jampani, Swetha; Vasireddi, Vishwaksen

doi:10.18410/jebmh/2016/460

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…The mean age of the participants was 45.4 years which was like study conducted by Huysen et al Males were most affected than females which were consistent with earlier studies. 7,8 In present study, clinically the incidence of Surgical Site infection was more with intra-abdominal pressure greater than 25 cm of H2O however statistically it was significant. The presence of IAH is associated with an 11-fold increase in mortality compared with patients without IAH.…”

Section: Discussionmentioning

confidence: 40%

Clinical Significance and Correlation of Intra-Abdominal Pressure With the Outcome of Perforation Peritonitis

Gupta¹,

Gupta

2019

IJMBS

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Background: A progressive increase in intra-abdominal pressure (IAP) may cause abdominal compartment syndrome (ACS) with organ dysfunction. However, it remains strangely underdiagnosed. Objective: To correlate Intra-abdominal pressure with the outcome in perforation peritonitis patients. Methods: An Observational study was done on 50 patients with perforation peritonitis and patients undergoing intervention in the form of either emergency laparotomy or drain placement. The abdominal pressures were indirectly determined by measuring urinary bladder pressure with a Foley's catheter. Pearson correlation was used to see relation between intra- abdominal pressure and outcome of peritonitis. SPSS version 16 (trial) was used for analysis. Results: Mean intra-abdominal pressure during time of presentation to the hospital was 26.4±3.8cm H2O. Among various morbidities following operation, surgical site infection was most common (36%) followed by wound dehiscence (30%). There was strong linear correlation between intra-abdominal pressure and factors determining morbidity such as surgical site infection, wound dehiscence, burst abdomen. Conclusions: There is a strong correlation of various co morbidities with increased intra-abdominal pressure in patients with perforation peritonitis which was significant statistically. Keywords: Intra- Abdominal Pressure, Intravescical pressure, perforation peritonitis, Abdominal Compartment Syndrome.

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Section: Discussionmentioning

confidence: 40%

Clinical Significance and Correlation of Intra-Abdominal Pressure With the Outcome of Perforation Peritonitis

Gupta¹,

Gupta

2019

IJMBS

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“…The mean age of the participants was 45.7 years which was like study conducted by Huysen et al Males were most affected than females which were consistent with earlier studies. 10,11 Most common site of perforation was prepyloric and duodenum while the least common was gall bladder. In our study IAP was measured using intravescical pressure using a standard transurethral bladder catheter which provided an accurate determination of IAP.…”

Section: Discussionmentioning

confidence: 99%

Correlation of intra-abdominal pressure with the outcome of perforation peritonitis

2017

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Background: A progressive increase in intra-abdominal pressure (IAP) may cause abdominal compartment syndrome (ACS) with organ dysfunction. Studies have documented the impact of Intra-abdominal hypertension (IAH) on virtually every organ. However, it remains strangely underdiagnosed. Present study was aimed to correlate Intra- abdominal pressure with the outcome in perforation peritonitis patients.Methods: This study was done on 50 patients with perforation peritonitis and patients undergoing intervention in the form of either emergency laparotomy or drain placement. The abdominal pressures were indirectly determined by measuring urinary bladder pressure with a Foley's catheter. Pearson correlation was used to see relation between intra-abdominal pressure and outcome of peritonitis.Results: Mean intra-abdominal pressure during time of presentation to the hospital was 26.7±3.2cm H2O. Among various morbidities following operation, surgical site infection was most common (38%) followed by wound dehiscence (24%). There was weak linear correlation between intra-abdominal pressure and factors determining morbidity such as surgical site infection, wound dehiscence, burst abdomen, prolonged ileus, ARDS and ARF. However, this was not statistically significant.Conclusions: There is weak correlation of various co morbidities with increased intra-abdominal pressure in patients with perforation peritonitis which was not significant statistically.

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Increased Intra-Abdominal Pressure as One of the Links in the Pathogenesis of Secondary Diffuse Purulent Peritonitis

Cherdantsev,

Ovchinnikova,

Trofimovich

et al. 2024

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Aim: to present literature data on the importance of intra-abdominal hypertension in the pathogenesis of peritonitis. Key points. Secondary purulent peritonitis is a severe and fairly common form of abdominal infection with high mortality. According to statistics, hospitalization of patients with signs of local or diffuse peritonitis is more than 15 % among patients with acute surgical pathologies. One of the factors in the development of complications and an unfavorable prognosis for this disease is increased intra-abdominal pressure. To measure this indicator, a Foley catheter inserted into the bladder is used in medical practice. According to reference values, the optimal level of intra-abdominal pressure does not exceed 5 mmHg. A persistent increase in pressure of 12 mmHg and above indicates the development of intra-abdominal hypertension. An increase in the level of intra-abdominal pressure indicates the progression of the inflammatory destructive process in the abdominal cavity and contributes to the development of multiple organ failure with subsequent fatal outcome with untimely treatment. With an indicator exceeding 20 mmHg, there is a risk of developing abdominal compartment syndrome. This condition is characterized by increased pressure in two or more anatomical areas, which leads to decreased blood flow and subsequent tissue hypoxia. Intra-abdominal hypertension also increases the risk of developing postoperative peritonitis in patients who have undergone laparotomy. Conclusion. To predict the course of secondary diffuse purulent peritonitis, reduce the risk of complications and mortality, it is necessary to focus on measuring intra-abdominal pressure as a mandatory manipulation in surgical patients. Despite its general availability and ease of implementation, this technique allows assessing the severity of organ dysfunctions.

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Intra-Abdominal Pressure Monitoring and Outcome in Patients With Peritonitis

Cited by 3 publications

References 8 publications

Clinical Significance and Correlation of Intra-Abdominal Pressure With the Outcome of Perforation Peritonitis

Clinical Significance and Correlation of Intra-Abdominal Pressure With the Outcome of Perforation Peritonitis

Correlation of intra-abdominal pressure with the outcome of perforation peritonitis

Increased Intra-Abdominal Pressure as One of the Links in the Pathogenesis of Secondary Diffuse Purulent Peritonitis

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