Intra-Abdominal Pressure Monitoring in Acute Severe Pancreatitis—A Boon or Bane?
نویسندگان
چکیده
Abstract Background Intra-abdominal hypertension (IAH) is increasingly reported in patients with acute pancreatitis, and caused by visceral edema, massive fluid resuscitation, paralytic ileus, retroperitoneal inflammation. Patients severe pancreatitis actually suffer from abdominal compartment syndrome (ACS)/IAH since there a strong correlation between early organ dysfunction mortality these patients, IAH appears to be an active attractive target for analysis intervention.1 Aim The study undertaken estimate the significance of intra-abdominal pressure monitoring pancreatitis. Objectives objective this evaluate relationship (IAP) severity measure outcome form intensive care unit (ICU) stay, hospital treatment modality, condition on discharge. Methodology A total 50 diagnosed as were enrolled observational study. IAP was started admission, once after controlling pain then every 4 hours. measured via transvesical route. Data collected length development systemic inflammatory response (SIRS), multiorgan failure, extent necrosis, presence infection, mortality. Results present 86% which shows essential managing patients. Severity estimation consistent alternative laboratory parameters like Ranson's score (p = 0.002), SIRS 0.013), failure/multiple 0.009). Two deaths incurred during period. Conclusions measurement cost-effective prognostic marker. Timely diagnosis management IAH/ACS through can prevent major comorbidity (ICU/hospital stay)
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ژورنال
عنوان ژورنال: International journal of recent surgical and medical science
سال: 2022
ISSN: ['2455-0949', '2455-7420']
DOI: https://doi.org/10.1055/s-0042-1743452