Hemodynamic effects of increased intra-abdominal pressure in critically ill children.

ABSTRACT:

Objective

To evaluate the influence of intra-abdominal pressure on the cardiac index (CI) at different intra-abdominal hypertension grades achieved when performing an abdominal compression maneuver (ACM). Evaluating the effectiveness of the ACM in distending the left internal jugular vein (LIJV).

Methods

Prospective observational study conducted in the PICU of a quaternary care teaching hospital. Participants underwent the ACM and the IAP was measured with an indwelling urinary catheter. At each IAH grade reached during the ACM, the CI was measured by transthoracic echocardiography and the LIJV cross-sectional area (CSA) was determined by ultrasonography.

Results

Twenty-four children were included (median age and weight of 3.5 months and 6.37kg, respectively). The med

SUBMITTER: Silveira LGT 

PROVIDER: S-EPMC9432225 | biostudies-literature | 2021 Sep-Oct

REPOSITORIES: biostudies-literature