| Journal: | Revista do Colegio Brasileiro de Cirurgioes |
| Database: | PERIÓDICA |
| System number: | 000283545 |
| ISSN: | 0100-6991 |
| Authors: | Bahten, Luiz Carlos von1 Guimarães, Paulo de Souza Fonseca2 |
| Institutions: | 1Pontificia Universidade Catolica do Parana, Curitiba, Parana. Brasil 2Santa Casa de Misericordia, Hospital Universitario Cajuru, Cajuru, Parana. Brasil |
| Year: | 2006 |
| Season: | Ene-Jun |
| Volumen: | 33 |
| Number: | 3 |
| Pages: | 146-150 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Aplicado |
| English abstract | Abdominal compartment syndrome (ACS) is attributed to acute increase in the intra-abdominal pressure (IAP), leading to adverse physiologic alterations because of involving the main organic systems and can lead to organic failure and obit. BACKGROUND: the purpose of this work is to evaluate the intra-abdominal hypertension (IAH) and ACS conduct in patients submitted to intensive care unit (ICU). METHODS: in this retrospective work were analysed 548 patients submitted to laparotomy and ICU, during the period from 1997, january to 2001, march. RESULTS: ACS was noted in 29 patients (5.29%). Analysing the maximum IAP value, 9 (31.03%) were grade II, 10 (34.48%) were grade III and 10 were grade IV. Eighteen (62.07%) were submitted to reoperation and temporary closure was used in 6 (20.69%). The global mortality was 68.97%, the ACS grade II mortality was 55.56%, the ACS grade III was 50%, the ACS grade IV was 100%. The reoperad patients mortality was 61.11%. CONCLUSION: the ACS has a elevated mortality in spite of early reoperation and adequate management in ICU, and we need to identify this problem in a precocius way without delaying preventive actions |
| Portuguese abstract | A síndrome compartimental abdominal (SCA) decorre de um aumento agudo na pressão intra-abdominal (PIA), promovendo alterações fisiológicas adversas devido ao acometimento dos principais sistemas orgânicos, podendo levar a falência orgânica e óbito. OBJETIVO: Avaliar a SCA em pacientes com hipertensão intra-abdominal (HIA) admitidos na unidade de terapia intensiva (UTI). MÉTODO: Foi realizado um estudo de 548 pacientes submetidos a laparotomia, necessitando de UTI, durante o período de janeiro de 1997 a março de 2001. RESULTADOS: A SCA foi identificada em 29 pacientes (5,29%). Analisando-se o valor máximo de PIA, 9 (31,03%) foram grau II, 10 (34,48%) foram grau III e 10 (34,48%) foram grau IV. Dezoito (62,07%) foram reoperados e o fechamento temporário foi realizado em 6 (20,69%). A mortalidade global foi de 68,97%, sendo que a SCA grau II teve 55,56% de mortalidade; a de grau III, 50%; a de grau IV, 100% e a mortalidade dos pacientes reoperados, 61,11%. CONCLUSÕES: A SCA acarreta elevada mortalidade, mesmo com a reoperação precoce e adequado manejo em UTI, devendo-se manter maiores cuidados na sua identificação e prevenção |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Gastroenterología, Terapéutica y rehabilitación, Síndrome compartimental abdominal, Presión intraabdominal, Abdomen, Hipertensión |
| Keyword: | Medicine, Gastroenterology, Surgery, Therapeutics and rehabilitation, Abdominal compartment syndrome, Intraabdominal pressure, Abdomen, Hypertension |
| Full text: | Texto completo (Ver HTML) |
