Presión intra abdominal (pia) y complicaciones en pacientes postquirúrgicos por abdomen agudo ingresados en la unidad de cuidados intensivos (uci). Hospital Vicente Corral Moscoso Cuenca. 2015

Abstract

Increased intra-abdominal pressure produces pathophysiological changes affecting the biological functions in postsurgical patients, making diagnosis and treatment is very important. Objective. Determine the values of intra-abdominal pressure (PIA), its increase and relate the complications encountered in post-surgical patients admitted to acute abdomen area ICU Vicente Corral Moscoso Hospital of Cuenca. Methodology. Quantitative, observational cross-sectional study in post-surgical patients for acute abdomen admitted to ICU of Hospital Vicente Corral Moscoso, over 16 years of age who met the inclusion criteria. The sample collection was from January to December 2014. The measurement of the PIA was by indirect technique (urinary catheter), data were collected on a form designed for the study. Results. The average age was 63 years, 54.3% were men. 57.1% presented a PIA Grade II normotensive 48.6%, 88.6% had a normal diuresis. They were re operated 31.4%, only 2.9% showed paralytic ileus. Mechanically ventilated patients was 62.9% with p <0.05 significant. 48.6% developed sepsis. Conclusions. The measurement of intra-abdominal pressure is helpful today because it allows us to know the physiological changes that occur in the postoperative patient, warning us of its evolution and the need to re surgery