Can increased intra-abdominal pressure (IAP) be treated more effectively with intravesical pressure measurement in high-risk patients? [kari{dotless}niçi basi{dotless}nç arti{dotless}şi{dotless}na yol a öç abilen hastali{dotless}klari{dotless}n tedavisi intravezikal basi{dotless}nç lümü kontrolü alti{dotless}nda daha güvenle yapi{dotless}labilir mi?]

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dc.contributor.authorDivarci E.
dc.contributor.authorErgün O.
dc.contributor.authorKarapinar B.
dc.contributor.authorYalaz M.
dc.contributor.authorÇelik A.
dc.date.accessioned2019-10-27T08:23:00Z
dc.date.available2019-10-27T08:23:00Z
dc.date.issued2013
dc.departmentEge Üniversitesien_US
dc.description.abstractBACKGROUND: Increased intra-abdominal pressure (IAP) can result in multiorgan failure. Trauma, mechanical bowel obstruction (MBO), abdominal wall defects (AWD) and fluid resuscitation in septic shock are conditions associated with a high risk of increased IAP in children. It may be possible to treat these conditions more effectively using intravesical pressure measurement. MEHTOHDS: This prospective study was performed between December 2009 and October 2010. Intravesical pressure (IVP) measurement was used to determine IAP. The presence of Intra-abdominal hypertension (IAP >12 mmHg) and abdominal compartment syndrome (IAP >15 mmHg + new organ dysfunction) was evaluated in all clinical decisions. RESULTS: IVP monitoring was applied in all patients with abdominal trauma (14), AWD (8), fluid resuscitation for septic shock (7), and MBO (6). A diagnosis of ACS was determined in 14% of trauma patients and required surgery. IAH/ACS occurred in 38% of AWD cases, which required closure. IAH occurred in 43% of patients undergoing fluid resuscitation for septic shock, requiring decompressive intervention. IAH/ACS occurred in 50% of MBO patients, all of whom required surgery. DISCUSSION: IVP measurement is a useful method to identify candidates for surgical treatment in cases of trauma and MBO. Similarly, IVP monitoring can facilitate the closure of abdominal wall defects and the application of fluid resuscitation in septic shock. © 2013 TJTES.en_US
dc.identifier.doi10.5505/tjtes.2013.35478en_US
dc.identifier.endpage563en_US
dc.identifier.issn1306-696X
dc.identifier.issue6en_US
dc.identifier.pmid24347217en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage559en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2013.35478
dc.identifier.urihttps://hdl.handle.net/11454/26354
dc.identifier.volume19en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbdominal compartment syndromeen_US
dc.subjectAbdominal wall defectsen_US
dc.subjectChildrenen_US
dc.subjectFluid resuscitation in septic shocken_US
dc.subjectIleusen_US
dc.subjectIntraabdominal hypertensionen_US
dc.subjectIntraabdominal pressureen_US
dc.subjectIntravesical pressure measurementen_US
dc.subjectTraumaen_US
dc.titleCan increased intra-abdominal pressure (IAP) be treated more effectively with intravesical pressure measurement in high-risk patients? [kari{dotless}niçi basi{dotless}nç arti{dotless}şi{dotless}na yol a öç abilen hastali{dotless}klari{dotless}n tedavisi intravezikal basi{dotless}nç lümü kontrolü alti{dotless}nda daha güvenle yapi{dotless}labilir mi?]en_US
dc.typeArticleen_US

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