INTRA-ABDOMINAL PRESSURE MONITORING AND OUTCOME IN PATIENTS WITH PERITONITIS

Abstract

Sambasiva Rao Jampani1, Srikanth Vattikonda2, Swetha Jampani3, Vishwaksen Vasireddi4

INTRODUCTION
Intra-abdominal pressure (IAP) is the pressure generated inside the abdominal cavity. Normal IAP is approximately 5 mmHg. The intra-abdominal pressure and abdominal compartment syndrome (ACS) are significantly associated with increased mortality and morbidity. Very little has been known regarding clinical factors leading to ACS.
AIMS AND OBJECTIVES
The aims of this study is to find their prevalence, monitoring and to assess and plan in abdominal compartment syndrome.
MATERIALS AND METHODS
? It is a prospective evaluation study.
? Patients in ICU above 18 years admitted following surgery for peritonitis included in the study.
? Information collected through a proforma and analysed.
RESULTS
? The mean age of the patients 45.6 and incidence more in male.
? There is no statistically significant correlation between the IAP and the cause of peritonitis.
? The patients with IAP had a significantly increased length of stay in the ICU.
? Renal failure and the number of organ failure were significantly high in patients with IAH.
DISCUSSION
? We need to define whether to use mean as maximum IAP.
? SOFA scoring system is good indicator of prognosis in ICU.
? Incidence of IAH and ACS more in peritonitis due to large perforation.
? The ICU length of study correlates with the IAP.
CONCLUSION
? Incidence of IAH is significantly high in peritonitis.
? IAP has significant role in morbidity and mortality.
? IAH associated with higher incidence of organ failure.
? Early recognition and intervention in patients with IAH and ACS can reduce morbidity and mortality.

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