INTRA-ABDOMINAL HYPERTENSION AND TRANSPORT OF OXYGEN IN CHILDREN UNDER CRITICAL CONDITION: CLINICAL PARALLELS

Cover Page
  • Authors: Tretyakov D.S.1
  • Affiliations:
    1. Tyumen State Medical University of the Ministry of Health of Russia, department of anesthesiology and resuscitation of the Institute of Continuous Professional Development
  • Issue: Vol 7, No 3 (2017)
  • Pages: 64-68
  • Section: КРИТИЧЕСКИЕ СОСТОЯНИЯ В ДЕТСКОЙ ХИРУРГИИ И НЕОНАТОЛОГИИ
  • URL: https://rps-journal.ru/jour/article/view/335

Abstract


In patients with shock of various genesis intransabdominal hypertension is accompanied by a high lethality. However, the index is rarely measured routinely, especially in pediatric patients. The presented prospective study examines the influence of intraabdominal pressure on oxygen transport in children from the resuscitation department. The changes in the oxygen transport parameters were modelled using statistical methods in various alterations in its consumption and intraabdominal pressure level.
The obtained results show that the stroke volume index and oxygen delivery index were decreased in response to the increased oxygen consumption in the growth of intraabdominal pressure. Patients with hemodynamic disturbances have the most pronounced decrease of oxygen delivery. The data presented show the necessary daily control over the intraabdominal pressure in patients from departments of intensive therapy and resuscitation. This has a peculiar diagnostic value in children with hemodynamic disturbances and shock.


About the authors

D. S. Tretyakov

Tyumen State Medical University of the Ministry of Health of Russia, department of anesthesiology and resuscitation of the Institute of Continuous Professional Development

Author for correspondence.
Email: td-80@mail.ru

Russian Federation Аспирант кафедры анестезиологии и реаниматологии ИНПР, «Тюменский государственный медицинский университет» Минздрава России,, 625000, г. Тюмень, ул. Одесская, д. 54.

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