Abstract

FILGUEIRAS RAMOS, Benigno; BEMBIBRE TABOADA, Rubén; CORONA MARTINEZ, Luis A  and  SOLER MOREJON, Caridad. Monitoreo de la presión intraabdominal (PIA) en el paciente quirúrgico grave. Rev Cubana Cir [online]. 2001, vol.40, n.1, pp. 18-23. ISSN 1561-2945.

A prospective and investigative study was made to determine the diagnostic and prognostic value in our environment of the measurement of intraabdominal pressure (IAP) in surgical patients admitted in the Intensive Care Unit of the "Gustavo Aldereguia Lima" Clinical and Surgical Teaching Hospital from March 1st to December 3lst, 1998 (n:80). All the cases were measured and surveyed in order to determine values on admission and at 6, 12, 24, and 48 hours and at the end of their evolution. The complications and the appearance of clinical signs were also determined. The t of student method of statistical significance and the analysis of relative and absolute risk with mean and standard deviation were applied. It was observed that IAP has a high predictive value in the appearance of surgical patients and that its increase produced an unfavorable prognosis regarding complications and death risk. Its rise preceeds the appearance of clinical signs such as fever, tachycardia, or tachypnea and the value of its reading increases as the time of evolution goes by

Keywords : ABDOMEN [cirugía]; MONITORING, PHYSIOLOGIC; DIAGNOSTIC TEHCNIQUES AND PROCEDURES; ABDOMEN [physiology]; ABDOMEN [surgery]; POSTOPERATIVE COMPLICATION [diagnosis]; INTENSIVE CARE UNITS.

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