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INTRA-ABDOMINAL HYPERTENSION AND TRANSPORT OF OXYGEN IN CHILDREN UNDER CRITICAL CONDITION: CLINICAL PARALLELS
- Authors: Tretyakov D.S.1
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Affiliations:
- 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: Original Study Articles
- URL: https://rps-journal.ru/jour/article/view/335
- DOI: https://doi.org/10.17816/psaic335
- ID: 335
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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.
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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
Аспирант кафедры анестезиологии и реаниматологии ИНПР, «Тюменский государственный медицинский университет» Минздрава России,, 625000, г. Тюмень, ул. Одесская, д. 54. Russian Federation
References
- Malbrain M. L. Is it wise not to think about intraabdominal hypertension in the ICU? CurrOpinCrit Care. 2004;10 (2):132–145.
- Hasan M. Al-Dorzi, Hani M. Tamim, Asgar H. Rishu, Abdulrahman Aljumah, and Yaseen M. Arabi. Intra-abdominal pressure and abdominal perfusion pressure in cirrhotic patients with septic shock. Ann Intensive Care. 2012; 2 (Suppl 1): S4. Published online 2012 Jul 5.
- Regli A., De Keulenaer B., De Iaet I., Roberts D. J., Dąbrowski W., Malbrain M. L. Fluid therapy and perfusional considerations during resuscitation in critically ill patients with intra-abdominal hypertension. Anaesthesiol Intensive Ther 2015; 47: 45–53.
- Theodossis S. Papavramidis, Athanasios D. Marinis, Ioannis Pliakos, Isaak Kesisoglou, and Nicki Papavramidou. Abdominal compartment syndrome – Intra-abdominal hypertension: Defining, diagnosing, and managing. J Emerg Trauma Shock. 2011 Apr-Jun; 4 (2): 279–291.
- Newcombe J., Mathur M., Ejike J. C. Abdominal compartment syndrome in children. Crit Care Nurse. 2012 Dec; 32 (6):51–61.
- Annika Reintam et all. Primary and secondary intra-abdominal hypertension —different impact on ICU outcome. Intensive Care Medicine, September 2008, Volume 34, Issue 9, pp 1624–1631
- Arvidsson D., Rasmussen I., Almqvist P., Niklasson F., Haglund U. Splanchnic oxygen consumption in septic and hemorrhagic shock. Surgery. 1991 Feb;109 (2):190–7.
- Crouser E. D., Dorinsky P. M. Gastrointestinal tract dysfunction in critical illness: pathophysiology and interaction with acute lung injury in adult respiratory distress syndrome/multiple organ dysfunction syndrome. New Horiz. 1994 Nov;2 (4):476–87.
- Rasmussen I., Haglund U. Early gut ischemia in experimental fecal peritonitis. Circ Shock. 1992 Sep;38 (1):22–8.
- Gritsan A. I., Gaygolnik D. V., Belyaev K. Yu., Gritsan G. V. Sravnitelnaya otsenka dostavki I potrebleniya kisloroda pri razlichnoy stepeni tyazhesti sepsisa u patsientov s destruktivnyimi formami pankreatita. Vestnik anesteziologii i reanimatologii, 2014:5; 26–34.
- Koroznikov E. S., Koroznikova Yu. A., Tretyakov D. S., Shen N. P. Chastota razvitiya sindroma enteralnogo povrezhdeniya u detey raznyih vozrastnyih grupp. Universitetskaya meditsina Urala, 2016:1; 58–60.
- Paolo Biban, Marcella Gaffuri, Stefania Spaggiari, Federico Zaglia, Alessandra Serra, and Pierantonio Santuz. Early recognition and management of septic shock in children Pediatr Rep. 2012 Jan 2; 4 (1): e13.
- Brian M. Cummings, MD. Treatment of Sepsis and Septic Shock in Children Updated: Jan 07, 2016.
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