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Intravesical pressure: A new prognostic indicator in congenital diaphragmatic hernia.
MedLine Citation:
PMID:  22121309     Owner:  NLM     Status:  PubMed-not-MEDLINE    
AIMS: To evaluate the usefulness of intravesical pressure as a prognostic indicator in congenital diaphragmatic hernia.
MATERIAL AND METHODS: In 25 cases, bladder pressure was measured intraoperatively during repair.
RESULTS: Cases were divided into three groups according to the intravesical pressure. Group 1: pressure <10 cm (n.9), Group 2: 10-15 cm (n.11) and Group 3: >15 cm (n.5). Number of ventilated days was tabulated against these groups. Median number of ventilated days for Group 1, with the lowest pressure, was 3 days, while that for Group 2 was 5 and for Group 3, with the highest pressure, was 10 days. This was significant, with a P-value of 0.016.
CONCLUSION: Measurement of intravesical pressure is a reliable prognostic indicator in newborns with congenital diaphragmatic hernia. It also helps in predicting postoperative ventilatory requirement.
Mohan K Abraham; Naveen Viswanath; P Ramakrishnan; S Bindu; P Kedari; Aisha Naaz; Lukman O Abdur Rahman; Abdulrasheed A Nasir; Mohan Sharon; R Shivji; P Sasidharan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of Indian Association of Pediatric Surgeons     Volume:  16     ISSN:  1998-3891     ISO Abbreviation:  J Indian Assoc Pediatr Surg     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-11-28     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101179870     Medline TA:  J Indian Assoc Pediatr Surg     Country:  India    
Other Details:
Languages:  eng     Pagination:  129-31     Citation Subset:  -    
Department of Pediatric Surgery and Neonatology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
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