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Article

The influence of fluid balance on intra-abdominal pressure after major abdominal surgery

Clinic of Anesthesiology and Intensive Care, Vilnius University, Lithuania
*
Author to whom correspondence should be addressed.
Submission received: 4 March 2008 / Accepted: 10 June 2008 / Published: 15 June 2008

Abstract

Objective. The objectives of this study were to determine the incidence of intraabdominal hypertension in patients after major abdominal surgery and to evaluate the correlation of intra-abdominal pressure with fluid balance and systemic inflammatory response syndrome.
Material and methods
. This is a prospective observational study. Patients, admitted to intensive care unit after major abdominal surgery, were included into the study. Intra-abdominal pressure was measured via a urinary bladder catheter twice daily. Twenty-four-hour fluid balance and systemic inflammatory response syndrome criteria met by the patients were collected daily.
Results
. Seventy-seven patients were included into the study. Intra-abdominal hypertension was diagnosed in about 40% of the patients in the early postoperative period. The study showed a significant positive correlation between 24-hour fluid balance and daily changes in intraabdominal pressure. A significant association was also seen between the number of positive systemic inflammatory response syndrome criteria and intra-abdominal pressure, and intraabdominal pressure was significantly higher in patients with systemic inflammatory response syndrome. Besides, patients with intra-abdominal hypertension on the first postoperative day had longer length of stay in the intensive care unit.
Conclusions. Intra-abdominal hypertension occurs commonly in patients after major abdominal surgery, and patients with positive 24-hour fluid balance and/or systemic inflammatory response syndrome are at risk of having higher intra-abdominal hypertensio
Keywords: intra-abdominal pressure; intra-abdominal hypertension; fluid balance; systemic inflammatory response syndrome intra-abdominal pressure; intra-abdominal hypertension; fluid balance; systemic inflammatory response syndrome

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MDPI and ACS Style

Šerpytis, M.; Ivaškevičius, J. The influence of fluid balance on intra-abdominal pressure after major abdominal surgery. Medicina 2008, 44, 421. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina44060055

AMA Style

Šerpytis M, Ivaškevičius J. The influence of fluid balance on intra-abdominal pressure after major abdominal surgery. Medicina. 2008; 44(6):421. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina44060055

Chicago/Turabian Style

Šerpytis, Mindaugas, and Juozas Ivaškevičius. 2008. "The influence of fluid balance on intra-abdominal pressure after major abdominal surgery" Medicina 44, no. 6: 421. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina44060055

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