Characterization of the syndrome abdominal compartimental in critical patients

Authors

Keywords:

intraabdominal pressure, intraabdominal hypertension, abdominal compartment syndrome.

Abstract

Introduction: the abdominal compartment syndrome is a systemic clinical entity   triggered by an increase of the intra abdominal pressure, clinically characterized by abdominal distension and the alteration of the renal, neurological, cardiovascular and respiratory functions.

Objective: to characterize the behavior of the abdominal compartment syndrome in critical patients from the intensive care unit of the provincial hospital “Jose Ramon Lopez Tabrane”.

Materials and methods: a longitudinal, descriptive and prospective study was carried out in a universe of adult patients with risk factors known as abdominal compartment syndrome, treated in the period of time from January 2014 to December 2015. Their transvesical intraabdominal pressure was systematically measured and they underwent surgical decompression in cases of intraabdominal hypertension grades iii and iv.

Results: the values of intraabdominal pressure steadily increased are directly proportional to the development of the abdominal compartment syndrome and entails dysfunctions in the different systems of organs; in these cases complications were found, that were combined for all patients and mainly in the group with intraabdominal pressure grade iv. Mortality was present in a certainly increased group, and was related to the levels of intraabdominal pressure, and also to the possibility these patients undergoing surgical treatments again.

Conclusions: it should be standardized the periodical measure of the intraabdominal pressure in any patient suspected of developing an abdominal compartment syndrome. 

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Author Biography

Mara Verónica Alvarez Valdés, Universidad de Ciencias Médicas de Matanzas Hospital Provincial Cmdte Faustino Perez Hernandez

Graduada de Medicina en el1993, de especialista en !er grado de MI en el año 1996. Fui subdirectora facultativa por dos años del 96/98 en el Hospital Tabrane. Verticalizada en terapia intensiva del adulto desde el 2001. Trabaje en el servicio de UCIm, Emergencias,y UTi. Profesora Asistente. MSc en Urgencias Medicas desde el 2009.

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Published

2020-02-11

How to Cite

1.
Alvarez Valdés MV, Denis Pérez A, Pardo Gómez L, Machado Madiedo R. Characterization of the syndrome abdominal compartimental in critical patients. Rev Méd Electrón [Internet]. 2020 Feb. 11 [cited 2025 Jan. 22];42(5):1-12. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/3236

Issue

Vol. 42 No. 5 (2020)

Section

Research article

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