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Related Experiment Videos

What is normal intra-abdominal pressure?

N C Sanchez1, P L Tenofsky, J M Dort

  • 1Department of Surgery, The University of Kansas School of Medicine-Wichita, 67214, USA.

The American Surgeon
|March 29, 2001
PubMed
Summary

Normal intra-abdominal pressure in hospitalized patients is influenced by body mass index and recent abdominal surgery. This finding helps estimate normal levels and identify abdominal compartment syndrome.

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Area of Science:

  • Critical Care Medicine
  • Surgical Physiology

Background:

  • Intra-abdominal pressure (IAP) and abdominal compartment syndrome (ACS) are well-documented.
  • Limited data exists on normal IAP in hospitalized patients.

Purpose of the Study:

  • Determine normal IAP in randomly selected hospitalized patients.
  • Identify predictors of normal IAP variation.

Main Methods:

  • Prospective enrollment of 77 hospitalized patients.
  • IAP measurement via indwelling transurethral bladder (Foley) catheter.
  • Analysis of demographics, medical history, and surgical status.

Main Results:

  • Mean IAP was 6.5 mm Hg (range 0.2-16.2 mm Hg).
  • Body mass index (BMI) positively correlated with IAP (P < 0.0004).

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  • Recent abdominal surgery also influenced IAP.
  • Conclusions:

    • Normal IAP in hospitalized patients is related to BMI and recent abdominal surgery.
    • An equation can estimate normal IAP.
    • Understanding normal IAP aids in diagnosing ACS.