Are standard intra-abdominal pressure values different during pregnancy?

<h4>Background</h4>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...

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Autores principales:	Florent Fuchs, Marie Bruyere, Marie-Victoire Senat, Emilien Purenne, Dan Benhamou, Hervé Fernandez
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c64585c7ea644fceaa8ba57bed07d657
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spelling	oai:doaj.org-article:c64585c7ea644fceaa8ba57bed07d6572021-11-18T08:49:27ZAre standard intra-abdominal pressure values different during pregnancy?1932-620310.1371/journal.pone.0077324https://doaj.org/article/c64585c7ea644fceaa8ba57bed07d6572013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24204808/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.Florent FuchsMarie BruyereMarie-Victoire SenatEmilien PurenneDan BenhamouHervé FernandezPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 10, p e77324 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Florent Fuchs Marie Bruyere Marie-Victoire Senat Emilien Purenne Dan Benhamou Hervé Fernandez Are standard intra-abdominal pressure values different during pregnancy?
description	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.
format	article
author	Florent Fuchs Marie Bruyere Marie-Victoire Senat Emilien Purenne Dan Benhamou Hervé Fernandez
author_facet	Florent Fuchs Marie Bruyere Marie-Victoire Senat Emilien Purenne Dan Benhamou Hervé Fernandez
author_sort	Florent Fuchs
title	Are standard intra-abdominal pressure values different during pregnancy?
title_short	Are standard intra-abdominal pressure values different during pregnancy?
title_full	Are standard intra-abdominal pressure values different during pregnancy?
title_fullStr	Are standard intra-abdominal pressure values different during pregnancy?
title_full_unstemmed	Are standard intra-abdominal pressure values different during pregnancy?
title_sort	are standard intra-abdominal pressure values different during pregnancy?
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/c64585c7ea644fceaa8ba57bed07d657
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Are standard intra-abdominal pressure values different during pregnancy?

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