| Renal Consequences of Intraabdominal Hypertension in a Porcine Model. Search for the Choice Indirect Technique for Intraabdominal Pressure Measurement. | |
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MedLine Citation:
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PMID: 23122948 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: To study the effects on the renal system in a porcine model of intraabdominal hypertension, and to determine the indirect technique of choice for determination of the intraabdominal pressure. MATERIAL AND METHODS: 30 pigs were used divided in two groups according with increased intraabdominal pressure values (20mmHg and 30mmHg). In both groups pressures were registered 8 times, summing up to 3hours, with a CO(2) insufflator. Three different measures of the intraabdominal pressure were taken: a direct transperitoneal measure, using a catheter of Jackson-Pratt connected to a pressure transducer, and two indirect measures, a transvesical by means of a Foley to manometer system, and a transgastric by introducing in the stomach a catheter connected to a pressure monitor with electronic hardware. Mean arterial pressure was calculated, along with the cardiac index, production of urine and serum creatinine. RESULTS: There was a greater correlation between the transvesical and the transperitoneal intraabdominal pressures (R(2)=0,95). Average transgastric intraabdominal pressure was inferior to the transperitoneal indicator in all taken measurements. The average arterial pressure descended in both groups, with earlier significant differences observed at 30mmHg (p<0,020). Urine production was lower at 30mmHg compared with the 20mmHg group (9,63±1,57 versus 3.26 ml±1,73). Serum creatinine increased in both groups being pathological at 30mmHg after 1h 20min, with existing differences between early pressures (p<0,027). CONCLUSIONS: This study revealed marked renal affectation with higher severity at 30mmHg pressures. The transvesical technique showed a greater correlation with the direct measurement technique used, defining this as the method of choice for determination of intraabdominal pressure. |
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Authors:
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L Correa-Martín; G Castellanos; M García; F M Sánchez-Margallo |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-31 |
Journal Detail:
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Title: Actas urologicas espanolas Volume: - ISSN: 1699-7980 ISO Abbreviation: Actas Urol Esp Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-11-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7704993 Medline TA: Actas Urol Esp Country: - |
Other Details:
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Languages: ENG; SPA Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 AEU. Published by Elsevier Espana. All rights reserved. |
Affiliation:
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Unidad de Laparoscopia, Centro de Cirugía de Mínima Invasión Jesús Usón, Cáceres, España. Electronic address: lcorreaccmijesususon@gmail.com. |
Vernacular Title:
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Consecuencias renales de la hipertensión intraabdominal en modelo porcino. Búsqueda de la técnica indirecta de elección de la medida de la presión intraabdominal. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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