Measurement of intra-abdominal pressure in intensive care units in the United Kingdom: a national postal questionnaire study † †Presented in part at the Association of Anaesthetists Annual Congress, Cardiff, September, 2004.

Ravishankar, Nidhi; Hunter, J. D.

doi:10.1093/bja/aei117

Cited by 85 publications

(79 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among them, intravesical pressure measurement is the generally accepted method in the diagnosis. Two previous studies clearly showed that health practitioners were inadequate in measuring and interpreting IAP in the diagnosis of IAH and ACS (13,14). More practical and easily interpretable methods are essential for detecting IAH before it progresses to ACS.…”

Section: Discussionmentioning

confidence: 99%

Effects of intraabdominal pressure on mean platelet volume during laparoscopic cholecystectomy

Celep¹,

Kahramanca²,

Özsoy³

et al. 2014

Turk J Med Sci

View full text Add to dashboard Cite

In this study, the effects of organic silicon (Si) on the toxicity of imidacloprid to a new invasive mealybug, Phenacoccus solenopsis (Hemiptera: Pseudococcidae), infesting Portulaca grandiflora (Caryophyllales: Portulacaceae) plants were evaluated using spotting and dipping methods under laboratory and field conditions to improve management strategies for solenopsis mealybug. Results showed significant synergistic effects of 0.06% organic Si with imidacloprid solution against third-instar P. solenopsis nymphs and adult females. However, the percentage mortalities increased remarkably after P. solenopsis was exposed to 100, 50, and 25 mg a.i./L of imidacloprid combined with organic Si. For the third-instar nymphs, these values increased to 100%, 100%, and 92.5%, respectively; for the adult females, these values increased to 100%, 100%, and 82.4%, respectively. After 5 days, the percentage mortalities reached 84.7%, 56.1%, and 39.7% when the third-instar nymphs were exposed to 100, 50, and 25 mg a.i./L of imidacloprid solution, respectively. The percentage mortalities reached 57.5%, 38.9%, and 26.2% when adult females were exposed to the same imidacloprid solutions, respectively. Organic Si alone elicited toxicity to P. solenopsis. The percentage mortalities of the first-, second-, and third-instar nymphs and the adult females were 76.9%, 47.5%, 39.2%, and 18.9%, respectively. Field data showed that imidacloprid combined with organic Si caused sustainable control of P. solenopsis. The percentage mortalities of P. solenopsis reached maximum values (approximately 99.9%) after 21 days. Thus, the combined treatment with imidacloprid and organic Si is synergistically more effective than the individual use of these substances against third-instar P. solenopsis nymphs and adult females.

show abstract

Section: Discussionmentioning

confidence: 99%

Effects of intraabdominal pressure on mean platelet volume during laparoscopic cholecystectomy

Celep¹,

Kahramanca²,

Özsoy³

et al. 2014

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…В последнее время большое значение при распространенном перитоните придается абдоминальному компат-мент-синдрому (АКС) и его составляющим -вну-трибрюшной (ВБГ) и внутрипросветной кишечной гипертензии (ВПКГ), являющихся предикторами полиорганной дисфункции (ПОД) и развития гене-рализованной абдоминальной инфекции (АС) [3,4,5,6]. Снижение внутрибрюшного давления (ВБД) способствует регрессии нарушений, но сопрово-ждается ишемическим реперфузионным синдро-мом (СИР), при котором восстановление микроге-моциркуляции в стенке кишки способствует увели-чению периода нарушения функции кишечника и транслокации инфекции в общий кровоток [7,8]. Патогенетический подход к терапии ВРГП подра-зумевает профилактику и минимизацию органных повреждений при СИР.…”

Section: âведениеunclassified

Manifistations of Abdominal Sepsis in Patients With Diffuse Peritonitis

Коровин¹,

Базлов²,

Андреева³

et al. 2017

Kuban. nauсh. med. vestnik

View full text Add to dashboard Cite

Федеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет» Министерства здравоохранения Российской Федерации, ул. Седина, д. 4, Краснодар, Россия, 350063. АННОТАЦИЯ Цель. Изучение динамики синдрома внутрибрюшной гипертензии и ишемического реперфузионного синдрома, обусловливающих абдоминальный сепсис у больных с распространённым перитонитом.Материал и методы. Изучено течение заболевания у 136 больных с распространенным гнойным перитонитом. Выделено 4 группы пациентов по уровню внутрибрюшной гипертензии. Ретроспективная оценка тяжести течения инфекции проводилась в соответствии с базовыми позициями «Sepsis-3». Внутрибрюшное давление контролиро-валось системой Uno Meter Abdo Pressure® Kit. Уровень лактата в периферической крови определялся хромато-графическим методом.Результаты. В 3 и 4 группах (n=74), абдоминальный сепсис был у 47 пациентов, у 27 пациентов был септиче-ский шок. Внутрибрюшная гипертензия снижалась у 29 пациентов назоинтестинальной интубацией, у 45 пациентов декомпрессионной лапаростомией. Ишемический реперфузионный синдром развился в 58,6% и в 48,9% случаев соответственно. Динамика уровня лактата крови и органной недостаточности была более продуктивна у больных с лапаростомией. Летальность составила 17,2% и 15,6% соответственно.Заключение. Тяжесть реперфузионных нарушений при перитоните зависит от степени выраженности внутри-брюшной гипертензии и внутрикишечной гипертензии, сроков их существования, способа и скорости декомпрессии брюшной полости и кишечника. Прогрессирование абдоминального сепсиса и отрицательная динамика синдрома «ишемии-реперфузии» в послеоперационном периоде у больных с распространенным перитонитом увеличивает летальность. Federation, Sedina str.,4, Krasnodar, Russia, 350063. MANIFISTATIONS OF ABDOMINAL SEPSIS IN PATIENTS WITH DIFFUSE PERITONITIS Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian ABSTRACTAim. The study of the dynamics of the syndrome of intraperitoneal hypertension and ischemic reperfusion syndrome, which cause abdominal sepsis in patients with diffuse peritonitis.Materials and methods. The course of the disease was studied in 136 patients suffering from diffuse purulent peritonitis. Four groups of patients were identified according to the level of intra-abdominal hypertension (WSACS). A retrospective assessment of the severity of the infection was carried out in accordance with the basic positions of "Sepsis-3". The intraabdominal pressure was monitored by the Uno Meter Abdo Pressure® Kit. The level of lactate in peripheral blood was evaluated by chromatographic method.Results. In groups 3 and 4 (n=74), abdominal sepsis was in 47 patients, in 27 patients there was a septic shock. Intra-abdominal hypertension was reduced in 29 patients by naso-intestinal intubation, in 45 patients -by decompression laparostomy. Ischemic reperfusion syndrome developed in 58.6% and in 48.9% of cases, respectiv...

show abstract

“…Furthermore, pigs have a significantly greater BMI than humans (18.5-25kg/m 2 for healthy humans and compared to up to 127kg/m 2 in some breeds of pigs [29]) and obesity in humans is associated with increased IAP [30]. This means that the IAP for pigs should be considerably greater than the approximate 1kPa average seen in humans [30][31][32][33][34][35], though data is not available. These factors might result in a stiffer linea alba in pigs compared to humans.…”

Section: Figure 16: Image Analysis (Ia) Derived Averages Versus That mentioning

confidence: 99%

“…Modelling the stress occurring within the linea alba using Laplace's law for thin-walled cylinders, with abdominal dimensions obtained from the literature [36] and a typical extreme IAP of 20kPa [31][32][33][34][35], the linea alba would theoretically experience stresses as high as 1.3MPa which could correspond to a strain of 4.7%. This is under the assumption that the cylinder in question is isotropic and, as such, these values are mid-range of the anisotropic experimental biaxial data.…”

Section: Biaxial Testsmentioning

confidence: 99%

Uniaxial and biaxial mechanical properties of porcine linea alba

Cooney

Moerman

Takaza

et al. 2015

Journal of the Mechanical Behavior of Biomedical Materials

View full text Add to dashboard Cite

Trocar site hernia (or incisional hernia) is a severe complication post laparoscopic surgery that is commonly associated with the linea alba. However, the few studies on the mechanical properties of the linea alba in the literature appear contradictory, possible due to challenges with the physical dimensions of samples and variations in protocol. This study focuses on the tensile mechanical characterisation of the porcine linea alba, as determined by uniaxial and equi-load biaxial testing using image-based strain measurement methods. Results show that the linea alba demonstrated a non-linear elastic, anisotropic behaviour which is often observed in biological soft tissues. The transverse direction (parallel to fibres) was found to be approximately 8 times stiffer than the longitudinal (cross-fibre) direction under both uniaxial and equi-load biaxial loading. The equi-load biaxial tensile tests revealed that contraction could occur in the transverse direction despite increasing load, probably due to the anisotropy of the tissue. Optical surface marker tracking and digital image correlation methods were found to greatly improve the accuracy of stretch measurement, resulting in a 75% change in the apparent stiffness compared to using strain derived from machine cross-head displacement. Additionally, a finite element model of the experiments using a combination of an Ogden and fibre exponential power law model for the linea alba was implemented to quantify the effect of clamping and tissue dimensions (which are suboptimal for tensile testing) on the results. The preliminary model results were used to apply a correction factor to the uniaxial experimental data prior to inverse optimisation to derive best fit material parameters for the fibre reinforced Ogden model. Application of the model to the equi-load biaxial case showed some differences compared to the experimental data, suggesting a more complex anisotropic model may be necessary to capture biaxial behaviour. These results provide an improved assessment of the mechanical properties of the porcine linea alba for wound closure and other studies.

show abstract

Measurement of intra-abdominal pressure in intensive care units in the United Kingdom: a national postal questionnaire study † †Presented in part at the Association of Anaesthetists Annual Congress, Cardiff, September, 2004.

Abstract: Despite widespread awareness of IAH and the ACS, many intensive care units never measure the IAP. When it is measured, the intravesical route is used exclusively. No consensus exists on optimal timing of measurement or when decompressive laparotomy should be performed.

Cited by 85 publications

References 22 publications

Effects of intraabdominal pressure on mean platelet volume during laparoscopic cholecystectomy

Effects of intraabdominal pressure on mean platelet volume during laparoscopic cholecystectomy

Manifistations of Abdominal Sepsis in Patients With Diffuse Peritonitis

Uniaxial and biaxial mechanical properties of porcine linea alba

Contact Info

Product

Resources

About