Background: Patients undergoing surgical operations in prone position do not have a measure of intra abdominal pressure as a standard procedure. Many of them could have elevated values of this parameter and could be exposed to possible renal damage due to a stiffening of the abdominal muscles while being positioned prone. Purpose of study: Intraoperative intrabdominal pressure measurement and evaluation of correlation with possible postsurgical complications. Methodology: Electronic device able to measure intra abdominal pressure is connected between a Foley catheter and a urinary collecting bag. During the procedure, values of the intra abdominal pressure are displayed on a monitor next to anaesthetic machine in real time. The numbers representing the pressure in mmHG are assessed and recorded. Discussion: Possible correlation between intra abdominal hypertension and postsurgical complications in patients operated in prone position could be a foundation to further clinical trials and presurgical assessment of intraabdominal pressure.
Study Type
OBSERVATIONAL
Enrollment
24
Device: Biometrix - Intraabdominal pressure monitoring set Intraabdominal pressure monitoring with the intended set in values of milimeters of mercury (mmHg) in real time.
Medical University of Warsaw: 1st Department of Anaesthesiology and Intensive Therapy
Warsaw, Masovian Voivodeship, Poland
RECRUITINGIncrease in intra abdominal pressure during surgery.
Change in intra abdominal pressure during surgery in prone position.
Time frame: Intraoperative
Correlation of increased abdominal pressure with renal dysfunction assessed by creatinine.
Assessment of renal function in labolatory tests: creatinine change (mg/dl).
Time frame: From start to eight hours after the surgery.
Correlation of increased abdominal pressure with renal dysfunction assessed by urea.
Assessment of renal function in labolatory tests: urea change (mg/dl).
Time frame: From start of surgery to eight hours after the surgery.
Correlation of increased abdominal pressure with renal dysfunction assessed by potassium.
Assessment of renal function in labolatory tests: potassium change (mg/dl).
Time frame: From start of surgery to eight hours after the surgery.
Correlation of increased abdominal pressure with mioglobin.
Assessment in labolatory tests: mioglobin change (mg/dl).
Time frame: From start of surgery to eight hours after the surgery.
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