Impact of two extubation techniques on the intra-abdominal pressure: a preliminary study.
Hernia
; 19(2): 307-11, 2015 Apr.
Article
em En
| MEDLINE
| ID: mdl-24615504
ABSTRACT
PURPOSE:
High pressure peaks might be a risk factor for the development of abdominal hernia. The course of abdominal pressure during extubation remains unclear. This preliminary study assessed the impact of two established extubation techniques.METHODS:
Twenty-four consecutive patients suffering from abdominal wall hernia with the indication for surgical treatment were included. Twelve patients were extubated directly after the intravenous anaesthesia was stopped, before they had spontaneous breathing (deep extubation). The other 12 were extubated after they had spontaneous breathing (awake extubation). Intra-abdominal pressure (IAP) was measured via bladder catheter continuously.RESULTS:
The highest value during extubation as well as the main increase in IAP was significantly lower in patients who underwent deep extubation (p < 0.001).CONCLUSIONS:
Therefore, this extubation technique might improve the outcome of hernia repair.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hérnia Abdominal
/
Hipertensão Intra-Abdominal
/
Extubação
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Hernia
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
2015
Tipo de documento:
Article