Document Detail


Abdominal compartment syndrome monitoring in major burn patients with Siriraj device catheter.
MedLine Citation:
PMID:  17375648     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Abdominal compartment syndrome (ACS) is consistently reported to have significant morbidity and mortality. Major burn patients who receive massive fluid resuscitation are at high-risk for this condition. Close monitoring of ACS is necessary for these patients. Prolonged unrelieved intra-abdominal pressure (IAP) at greater than 20 mmHg can produce significant morbidity and mortality. The most widely accepted and feasible way to measure IAP is via the draining port of a standard urinary catheter Siriraj burn unit developed its own device from simple equipment that can be found easily in the hospital. It proved to be useful, cheap, and effective in monitoring intra-abdominal pressure. The present study described techniques of using this device for monitoring and early detection of ACS. Five major burn patients > or = 40% Total body surface area (TBSA) was measured by IAP measurement via foley catheter using the Siriraj device catheter compared to direct measurement via peritoneal catheter. There was no difference of IAP between the two methods (p = 0.48). This suggested that Siriraj device catheter was useful, not invasive, and effective in reflection of actually IAP Siriraj burn unit suggested IAP measurement in all major burns > or = 40% TBSA to early recognize and treat intra-abdominal hypertension(IAH) that can lead to ACS. Early detection of this syndrome might decrease the adverse effects after increasing abdominal pressure that can cause organ dysfunction.
Authors:
Pornprom Muangman; Saipin Muangman; Supaparn Suvanchote; Rachanee Benjathanung
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  90     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-03-22     Completed Date:  2007-04-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  384-90     Citation Subset:  IM    
Affiliation:
Burn Unit, Trauma Division, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. pmuangman@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Abdomen / physiopathology*
Adult
Body Surface Area
Burns / physiopathology*,  therapy*
Catheterization / adverse effects,  instrumentation*
Compartment Syndromes / diagnosis*,  etiology
Equipment Design
Feasibility Studies
Female
Fluid Therapy / adverse effects,  instrumentation*
Humans
Infant
Infant, Newborn
Isotonic Solutions
Male
Middle Aged
Risk Factors
Chemical
Reg. No./Substance:
0/Isotonic Solutions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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