Measurement of Intra-abdominal Pressure in Critically-ill Children
Published: December 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.5345
Jyoti Singhal, Preeti Shanbag
1. Assistant Professor, Department of Pediatrics, Bharati Vidyapeeth Medical College, Pune, India.
2. Professor, Department of Pediatrics, ESI-PGIMSR & MGM Hospital, Mumbai, India.
Correspondence
Dr. Preeti Shanbag,
801, Yashowan, T.H.Kataria Marg, Mahim, Mumbai-400016, India.
Phone : 09869128012, E-mail : pshanbag@gmail.com
Introduction: It is being increasingly recognized that intra-abdominal hypertension is an important cause of organ dysfunction. This pilot study was done to determine the feasibility of measuring intra-abdominal pressures (IAP) in critically-ill children using simple inexpensive equipment available in the PICU.
Materials and Methods: This was a prospective study done in the paediatric intensive care unit (PICU) of a tertiary care general hospital. Thirty-two consecutive patients admitted to the PICU, staying for more than 24 h and requiring a urinary catheter were studied. IAP was measured by the intravesical method, using a disposable manometer, twice a day for seven days or till discharge/death, Risk factors associated with IAH were recorded.
Results: The majority of the patients had an IAP less than 5 mm Hg. Three patients had grade 1 intra-abdominal hypertension (IAP>12 mm Hg).
Conclusion: It is feasible to measure IAP in paediatric patients without the use of sophisticated equipment
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