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The Diagnostic Value of Intra-abdominal Pressure in Patients with Blunt Acute Abdominal Trauma

Year 2012, Volume: 37 Issue: 3, 157 - 161, 01.09.2012

Abstract

Purpose:The objective of this study was to determine the diagnostic value of intra-abdominal pressure measurement in blunt abdominal trauma patients. Method: A prospective study was performed in 49 patients with blunt trauma in our university hospital for 1 years. Patients were randomly into two groups as intra-abdominal trauma (n=28) and extraabdominal trauma (n=21) groups. Intra-abdominal pressures was measured an classified as normal (10 cm H2O or less), elevated (more than 10 cm H2O) determined indirectly. Results: No significant differences were found between abdominal trauma and extra-abdominal trauma groups from the point of intra-abdominal pressure (IAP). One the other hand, in abdominal trauma group; significant differences were observed between operated patients. Intra-abdominal bleeding was found in 10 patients and all of them elevated IAP values (exceeding 16 cm H2O). For determining the intra-abdominal injury, IAP had a sensitivity of 93%, specificity 38% in patients. Conclusion: IAP exceeding 16 cm H2O with blunt abdominal trauma patients abdominal trauma can be detected. It is thought that IAP, indirect monitoring of abdominal trauma patients is a reproducible, scientific guide and simple method.To determine the efficacy of the measurement of intra-abdominal pressure in blunt abdominal trauma patients, further studies should be done.

References

  • Leppäniemi A. Abdominal compartment syndrome. Duodecim. 2010;126:1303-9.
  • Walker J, Criddle LM. Pathophysiology and Management of Abdominal Compartment Syndrome. American Journal of Critical Care. 2003;12:367-71.
  • Cullen DJ, Coyle JP, Teplich R, Long MC. Cardiovascular, pulmonary, and renal effects of massively increased intra-abdominal pressure in critically ill patients. Crit Care Med.1989;17:118-21.
  • Kron IL, Harman PK, Nolan SP. The measurment of intra-abdominal pressure as a criterion for abdominal re-ex ploration. Ann Surg. 1984;199:28-30.
  • Sanda RB, Aziz R, Bhutto A, Seliem SI. Abdominal Compartment Syndrome complicating massive hemorrhage from an unusual presentation of ruptured ectopic pregnancy. Ann Afr Med. 2011;10:252-5.
  • Moore AF, Hargest R, Martin M, Delicata RJ. Intra- abdominal hypertension and the abdominal compartment syndrome.Br J Surg. 2004;91:1102-10.
  • Yanturalı S, Çete Y, Oktay C, Eray O, Atilla R, Çevik AA, et al. Diagnostic Value of Intraabdominal Pressure Measurement in Blunt Abdominal Trauma Patients. Türkiye Acil Tıp Dergisi. 2004;4:105-8
  • Cirocchi R, Barillaro I, Boselli C, Covarelli P, Grassi V, Cacurri A, et al. The abdominal compartment syndrome and the importance of decompressive re- laparotomy. G Chir. 2010; 31:560-74.

Künt Karın Travmalı Hastalarda Karın İçi Basıncın Tanısal Değeri

Year 2012, Volume: 37 Issue: 3, 157 - 161, 01.09.2012

Abstract

Amaç: Bu çalışmanın amacı, künt karın travmalı hastalarda karın içi basınç ölçümünün tanısal değerini belirlemektir. Yöntem: Üniversite hastanesi acil servisine 1 yıllık süre içinde künt travma nedeniyle başvuran 49 hastada yapılan prospektif bir çalışmadır. Hastalar randomize olarak intraabdominal travma (n:28) ve extraabdominal travma (n:21) olmak üzere iki gruba ayrıldı. Karın içi basınç ölçümü 10 cmH2O ve altında olan hastalar normal, 10 cmH2O üzerinde olanlar artmış olarak kabul edildi. Bulgular: Karın ve karın dışı travma hastaları arasında karın içi basınç ölçümü anlamlı bulunmadı. Diğer yandan, abdominal travma grubunda; ameliyat edilen hastalarda anlamlı fark bulundu. Karın içi kanama saptanan 10 hastanın hepsinde karın içi basınç yüksek bulundu ( 16 cmH2O ve üzeri). Karın içi yaralanmayı saptamada, karın içi basınç ölçümünün sensitivitesi %93, spesifisitesi %38 olarak bulundu. Sonuç: Karın içi basınç ( 16 cmH2O ve üzeri) olan künt karın travmalı hastalarda, karın içi yaralanma saptanabilir. Karın içi basınç ölçümü, künt karın travma hastalarında, indirek, basit ve kullanışlı bir yöntem olabilir. Bu yöntemin etkinliğini belirlemek için ileri çalışmalara ihtiyaç vardır.

References

  • Leppäniemi A. Abdominal compartment syndrome. Duodecim. 2010;126:1303-9.
  • Walker J, Criddle LM. Pathophysiology and Management of Abdominal Compartment Syndrome. American Journal of Critical Care. 2003;12:367-71.
  • Cullen DJ, Coyle JP, Teplich R, Long MC. Cardiovascular, pulmonary, and renal effects of massively increased intra-abdominal pressure in critically ill patients. Crit Care Med.1989;17:118-21.
  • Kron IL, Harman PK, Nolan SP. The measurment of intra-abdominal pressure as a criterion for abdominal re-ex ploration. Ann Surg. 1984;199:28-30.
  • Sanda RB, Aziz R, Bhutto A, Seliem SI. Abdominal Compartment Syndrome complicating massive hemorrhage from an unusual presentation of ruptured ectopic pregnancy. Ann Afr Med. 2011;10:252-5.
  • Moore AF, Hargest R, Martin M, Delicata RJ. Intra- abdominal hypertension and the abdominal compartment syndrome.Br J Surg. 2004;91:1102-10.
  • Yanturalı S, Çete Y, Oktay C, Eray O, Atilla R, Çevik AA, et al. Diagnostic Value of Intraabdominal Pressure Measurement in Blunt Abdominal Trauma Patients. Türkiye Acil Tıp Dergisi. 2004;4:105-8
  • Cirocchi R, Barillaro I, Boselli C, Covarelli P, Grassi V, Cacurri A, et al. The abdominal compartment syndrome and the importance of decompressive re- laparotomy. G Chir. 2010; 31:560-74.
There are 8 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Hüseyin Narcı This is me

Hüküm Uzun This is me

Keziban Uçar Karabulut This is me

Publication Date September 1, 2012
Published in Issue Year 2012 Volume: 37 Issue: 3

Cite

MLA Narcı, Hüseyin et al. “Künt Karın Travmalı Hastalarda Karın İçi Basıncın Tanısal Değeri”. Cukurova Medical Journal, vol. 37, no. 3, 2012, pp. 157-61.