Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Treatment of intracranial hypertension using nonsurgical abdominal decompression
Autore:
Saggi, BH; Bloomfield, GL; Sugerman, HJ; Blocher, CR; Hull, JP; Marmarou, AP; Bullock, MR;
Indirizzi:
Virginiarg,mmonwealth Univ, Med Coll Virginia, Dept Surg, Div Gen Trauma Su Virginia Commonwealth Univ Richmond VA USA 23298 Surg, Div Gen Trauma Su Virginiachmond,wealth Univ, Med Coll Virginia, Dept Surg, Div Neurosurg, Ri Virginia Commonwealth Univ Richmond VA USA 23298 Surg, Div Neurosurg, Ri
Titolo Testata:
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
fascicolo: 4, volume: 46, anno: 1999,
pagine: 646 - 651
Fonte:
ISI
Lingua:
ENG
Soggetto:
INCREASED INTRAABDOMINAL PRESSURE; RENAL-FUNCTION; VOLUME EXPANSION; BLOOD-FLOW; TRAUMA; INSUFFLATION; LAPAROSCOPY; PERFUSION; PULMONARY; ARTERIAL;
Keywords:
abdominal compartment syndrome; cerebral perfusion pressure; head injury; intracranial pressure; trauma;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Sugerman, HJ Virginiarg,mmonwealth Univ, Med Coll Virginia, Dept Surg, DivGen Trauma Su Virginia Commonwealth Univ Box 980519 Richmond VA USA 23298 u
Citazione:
B.H. Saggi et al., "Treatment of intracranial hypertension using nonsurgical abdominal decompression", J TRAUMA, 46(4), 1999, pp. 646-651

Abstract

Background: Elevated intra-abdominal pressure (IAP) increases intracranialpressure (ICP) and reduces cerebral pel fusion pressure (CPP). We evaluated a nonsurgical means of reducing IAP to reverse this process,Methods: Swine with a baseline ICP of 25 mm Hg produced by an intracranialballoon catheter were studied. In group 1 (n = 5), IAP was increased by 25mm Hg. Continuous negative abdominal pressure (CNAP) was then applied, Group 2 (n = 4) had neither IAP elevation nor CNAP. Group 3 (n = 4) had CNAP without IAP elevation. Results: Elevation of IAP by 25 mm Hg above baseline led to deleterious changes in ICP (25.8 +/- 0.8 to 39.0 +/- 2.8; p < 0.05) and CPP (85.2 +/- 2.0to 64.8 +/- 2.6; p < 0.05), CNAP led to a reduction in IAP (30.2 +/- 1.2 to 20.4 +/- 1.3: p < 0.05) and improvements in cerebral perfusion (ICP, 33 +/- 2.7; CPP, 74.4 +/- 1.2; both p < 0.05). Group 2 had stable ICP (25.8 +/-0.25 to 28.7 +/- 1.7: p > 0.05) and CPP (80.8 +/- 1.4 to 80.5 +/- 1.8; p >0.05. In group 3, CNAP decreased cardiac index (2.9 +/- 0.2 to 1.1 +/- 0.4; p < 0.05). mean arterial pressure (105.2 +/- 4.0 to 38.2 +/- 12.0; p < 0.05), and CPP (74.2 +/- 4.7 to 14.5 +/- 12.2; p < 0.05). Conclusion: Elevations in IAP led to increased ICP and decreased CPP, CNAPameliorated these intracranial disturbances, With normal IAP, CNAP impaired cerebral perfusion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/10/20 alle ore 23:55:54