Are standard intra-abdominal pressure values different during pregnancy?
Are standard intra-abdominal pressure values different during pregnancy?
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DOI：
10.1371/journal.pone.0077324
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Fernandez H
中科院分区：
文献类型：
--
作者：
Fuchs F;Bruyere M;Senat MV;Purenne E;Benhamou D;Fernandez H
腹内压（IAP）的测量是监护重症监护病房患者的重要参数。在怀孕期间IAP的标准值尚未得到很好的定义。本研究的目的是评估IAP值在孕妇剖宫产前后。这项前瞻性研究于2011年1月至12月在法国一家三级护理中心进行，纳入了足月时接受择期剖宫产的平稳妊娠妇女。在剖宫产前，在脊髓麻醉下通过插入膀胱的Foley导管测量IAP，并在术后的前两个小时内每30分钟测量一次IAP。该研究包括70名女性。剖宫产前平均IAP为14.2 mmHg（95%CI：6.3-23）。该值显著高于术后：首次测量值为11.5 mmHg（95%CI：5-19.7）（p = 0.002）。 在术后2小时内，IAP没有显著变化（p = 0.2）。 肥胖患者（n = 25）的术前IAP值显著高于非肥胖患者：15.7 vs. 12.4; p = 0.02。 在足月妊娠中，IAP值在分娩前显著高于产后期，其中IAP值在术后经典腹部手术的水平上保持升高至少两小时。了解IAP值的这些生理变化可能有助于预防剖宫产后发生腹腔室隔综合征时的器官功能障碍/衰竭。
Measurement of intra-abdominal pressure (IAP) is an important parameter in the surveillance of intensive care unit patients. Standard values of IAP during pregnancy have not been well defined. The aim of this study was to assess IAP values in pregnant women before and after cesarean delivery. This prospective study, carried out from January to December 2011 in a French tertiary care centre, included women with an uneventful pregnancy undergoing elective cesarean delivery at term. IAP was measured through a Foley catheter inserted in the bladder under spinal anaesthesia before cesarean delivery, and every 30 minutes during the first two hours in the immediate postoperative period. The study included 70 women. Mean IAP before cesarean delivery was 14.2 mmHg (95%CI: 6.3–23). This value was significantly higher than in the postoperative period: 11.5 mmHg (95%CI: 5–19.7) for the first measurement (p = 0.002). IAP did not significantly change during the following two postoperative hours (p = 0.2). Obese patients (n = 25) had a preoperative IAP value significantly higher than non-obese patients: 15.7 vs. 12.4; p = 0.02. In term pregnancies, IAP values are significantly higher before delivery than in the post-partum period, where IAP values remain elevated for at least two hours at the level of postoperative classical abdominal surgery. The knowledge of these physiological changes in IAP values may help prevent organ dysfunction/failure when abdominal compartment syndrome occurs after cesarean delivery.
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影响因子：
38.9
作者：
Kirkpatrick, Andrew W.;Roberts, Derek J.;De Waele, Jan;Jaeschke, Roman;Malbrain, Manu L. N. G.;De Keulenaer, Bart;Duchesne, Juan;Bjorck, Martin;Leppaniemi, Ari;Ejike, Janeth C.;Sugrue, Michael;Cheatham, Michael;Ivatury, Rao;Ball, Chad G.;Blaser, Annika Reintam;Regli, Adrian;Balogh, Zsolt J.;D'Amours, Scott;Debergh, Dieter;Kaplan, Mark;Kimball, Edward;Olvera, Claudia
通讯作者：
Olvera, Claudia
影响因子：
38.9
作者：
Malbrain, MLNG;Chiumello, D;Gattinoni, L
通讯作者：
Gattinoni, L
影响因子：
8.8
作者：
Vidal, Maria Gabriela;Weisser, Javier Ruiz;Estenssoro, Elisa
通讯作者：
Estenssoro, Elisa
影响因子：
105.7
作者：
Waterstone, M;Bewley, S;Wolfe, C
通讯作者：
Wolfe, C
影响因子：
9
作者：
KRON, IL;HARMAN, PK;NOLAN, SP
通讯作者：
NOLAN, SP