OPTIMAL METHOD OF INTRAABDOMINAL PRESSURE MEASUREMENT
Authors:
doc. MUDr. Michal Mašek, CSc.; MUDr. Vítězslav Ruber; MUDr. Václav Rak; MUDr. Daniel Ira
Authors‘ workplace:
oddělení úrazové chirurgie LF MU a FN Brno
Published in:
Urol List 2005; 3(1): 53-55
Overview
The measurement of intraabdominal pressure is very important investigation to make early diagnosis of impending abdominal compartment syndrome. We perform it on the intensive care units every time when the increasing of intraabdominal pressure is suspected.
In accordance with the dynamic of measured values we can indicate to make timely decompression of abdominal cavity.
The paper is based on our own clinical experiences - about 50 measurements per one year.
We do monitoring of intraabdominal pressure according to Whitesides by means of urinary bladder catheterization with filling up to 50 ml of physiologic solution. The reason was to eliminate mistakes which are made by the capacity decreasing pathology of urinary bladder.
We use the horizontal laparostoma for decompression of the abdominal cavity by means of temporary closure by Ethizip.
The correct interpretation of results of measurement and timely indicated decompression can significantly decrease the risk of multiorgan failure.
KEY WORDS:
intraabdominal pressure, compartment syndrome, monitoring of intraabdominal pressure, laparostoma
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Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
2005 Issue 1
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