| [Intraabdominal and thoracic pressure in critically ill patients with suspected intraabdominal hypertension]. | |
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MedLine Citation:
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PMID: 21497415 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study the correlation between intraabdominal and intrathoracic pressure in patients with suspected intraabdominal hypertension. DESIGN: A prospective, observational cohort study. SETTING: Polyvalent intensive care unit of a University hospital. PATIENTS: Twenty-seven medical-surgical patient dependent upon controlled mechanical ventilation due to acute respiratory failure and with several risk factors for intraabdominal hypertension (IAH). MAIN VARIABLES: Intraabdominal (IAP), esophageal (Peso) and airways pressure were measured under static (st) and dynamic (dyn) conditions. Respiratory system (Crs), lung (Cl) and chest wall compliance (Ccw)were calculated. RESULTS: In 10 patients IAP > 12 mmHg (IAH, IAPst, 14 ± 2 [12-21] mmHg), while in the rest the pressure proved normal (n = 17; IAPst, 8 ± 2 [3-11] mmHg). Peso st was 11 ± 5 (2-27) and Peso dyn 7 ± 4 (2-24) cmH₂O. Depending on the presence or absence of IAH, Peso st was 9 ± 4 vs 7 ± 3 cmH₂O (p = 0.2) and Peso dyn 6 ± 2 vs 4 ± 3 cmH₂O (p = 0.3), respectively. The correlation between Peso st and dyn with IAPst was 0.5 (p= 0.003) and 0.4 (p = 0.03), respectively. The compliance components were decreased (Crs, 31 ± 8; Cl, 52 ± 22 and Ccw, 105 ± 50 ml/cmH₂O); Ccw was significantly lower in patients with IAH (81 ± 31 vs 118 ± 55 ml/cmH₂O; p = 0.02). The correlation coefficient between IAPst and Ccw was -0.7 (p < 0.001), and -0.5 (p = 0.002) with respect to Crs. CONCLUSIONS: A stiffer chest wall was observed in patients with IAH. In patients with risk factors for IAH, pressures in these compartments were highly variable. |
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Authors:
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F Ruiz Ferrón; A Tejero Pedregosa; M Ruiz García; A Ferrezuelo Mata; J Pérez Valenzuela; R Quirós Barrera; L Rucabado Aguilar |
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Publication Detail:
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Type: English Abstract; Journal Article Date: 2011-04-15 |
Journal Detail:
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Title: Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias Volume: 35 ISSN: 1578-6749 ISO Abbreviation: Med Intensiva Publication Date: 2011 Jun-Jul |
Date Detail:
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Created Date: 2011-05-23 Completed Date: 2011-11-03 Revised Date: 2012-01-18 |
Medline Journal Info:
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Nlm Unique ID: 9207689 Medline TA: Med Intensiva Country: Spain |
Other Details:
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Languages: spa Pagination: 274-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2009 Elsevier España, S.L. y SEMICYUC. All rights reserved. |
Affiliation:
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Servicio de Cuidados Críticos y Urgencias, Unidad de Medicina Intensiva, Hospital Médico-Quirúrgico, Complejo Hospitalario de Jaén, Jaén, España. frferron@terra.es |
Vernacular Title:
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Presión intraabdominal y torácica en pacientes críticos con sospecha de hipertensión intraabdominal. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Cavity* Aged Critical Illness Female Humans Hypertension / physiopathology* Male Pressure Prospective Studies Thorax* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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