Association between intra-abdominal pressure and jugular bulb saturation in critically ill patients

Autor: Kotlinska-Hasiec, E., Dabrowski, W., Rzecki, Z., Rybojad, B., Pilat, J., Keulenaer, B., Manu Malbrain
Přispěvatelé: Supporting clinical sciences, Intensive Care
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Scopus-Elsevier
Popis: Background. Disorders in cerebral circulation following elevated intra-abdominal pressure (IAP) may lead to silent brain ischemia, which can be serious problem in sedated critically ill patients. The aim of the present study was to analyse the possible association between jugular venous bulb pressure QVBP) and jugular venous bulb saturation (SjO2) to IAP in critically ill patients. Methods. Adult septic shock patients with acute kidney injury were studied just after the admission to Intensive Care Unit and after 24 and 48 hours of treatment. Patients were divided into: CWH group (patients treated with continuous veno-venous haemofiltration) and furosemide group (patients treated with furosemide infusion). The IAP was measured via the bladder. The right jugular vein was retrogradely cannulated for JVBP and SjO2 measurement. Intra-abdominal hypertension was defined as a sustained increase of IAP equal to or above 12 mmHg. Results. Forty patients (25 male and 15 female patients) were studied. In all participants, IAP strongly correlated with JVBP (P
Databáze: OpenAIRE