Document Detail

Effects of compressive abdominal bandaging and transrectal palpation on intra-abdominal pressures in horses.
MedLine Citation:
PMID:  23356704     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To determine the effect of an abdominal support wrap and transrectal abdominal palpation on intra-abdominal pressures (IAPs) measured directly from the peritoneal space.
DESIGN: Prospective, experimental study.
SETTING: A university-based equine research facility.
ANIMALS: Ten healthy adult horses, 5 males and 5 females.
INTERVENTIONS: IAPs were measured through an intraperitoneal cannula zeroed at a height midway between the height of the tuber ishii and point of the shoulder. Triplicate measurements were obtained at rest, during transrectal palpation, after placement of an abdominal support wrap, and during transrectal palpation with the support wrap still in place. Simultaneous mean arterial pressures were obtained using a tail cuff and abdominal perfusion pressures were calculated using the measured IAP minus the measured mean arterial pressures.
MEASUREMENTS AND MAIN RESULTS: Baseline direct pressure measurements were subatmospheric (-4.5 ± 3.0 cm H(2) O). IAPs were not significantly affected by transrectal palpation, but were significantly increased after placement of an abdominal support wrap (-1.19 ± 3.01 cm H(2) O; P = 0.01). Abdominal perfusion pressures were not significantly affected by either transrectal palpation or application of the support wrap.
CONCLUSION: IAPs were significantly increased after application of an abdominal support wrap commonly used after exploratory laparotomy. Further investigations are warranted to determine the clinical implications of abdominal bandaging on IAP and its implications on postoperative complications including intra-abdominal hypertension. However, transrectal abdominal palpation likely does not contribute to abdominal hypertension in normal horses.
Elizabeth J Barrett; Amelia S Munsterman; R Reid Hanson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)     Volume:  23     ISSN:  1476-4431     ISO Abbreviation:  J Vet Emerg Crit Care (San Antonio)     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101152804     Medline TA:  J Vet Emerg Crit Care (San Antonio)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  41-6     Citation Subset:  IM    
Copyright Information:
© Veterinary Emergency and Critical Care Society 2012.
Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL, 35849.
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