The Value of Intra-abdominal Pressure Measurement in Patients with Acute Abdomen
Küçük Resim Yok
Tarih
2009
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Singapore Pte Ltd
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AIM: To find out the potential benefit of bladder pressure (BP) measurement as a diagnostic tool for acute abdomen. BACKGROUND: Acute abdomen is one of the most important clinical entities among general Surgical clinics. The diagnosis can be achieved by considering the patient's history, physical examination, laboratory analysis or by different imaging modalities. Abdominal compartment syndrome (ACS) occurs due to elevated intra-abdominal pressure (IAP), and can be diagnosed by measurement of BP. We observed in our clinical routine elevated IAP levels in patients with acute abdomen. METHODS: Two groups were established: one containing 65 consecutive patients diagnosed as having acute abdomen in the emergency room, and the control group of 10 consecutive patients with no acute abdominal complaints elected for laparoscopic operation. IAP measurements were performed before the operations. BP was measured in the supine position with 50 mL of sterile saline instilled into the bladder after the bladder had been emptied. The catheter was connected to a water manometer with the reference point being the symphisis pubis, BP levels greater than 7 cmH(2)O were accepted as abnormal and interpreted as a diagnostic criteria for acute abdomen. RESULTS: Sensitivity, specificity, positive predictive value, negative predictive value and the accuracy are calculated 95.4%, 80%, 96.9%, 72.7%, 93.3%, respectively. CONCLUSION: We found elevated IAP may support the physician's diagnosis of acute abdomen with approximately 27.3% false negative rate. [Asian J Surg 2009;32(1):33-8]
Açıklama
40th Congress of the European-Society-for-Surgical-Research -- MAY 25-28, 2005 -- Konya, TURKEY
Anahtar Kelimeler
Acute Abdomen, Peritonitis, Abdominal Compartment Syndrome
Kaynak
Asian Journal Of Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
32
Sayı
1
