The effect of different types of abdominal binders on intra-abdominal pressure
| Autor: | Hua-Yu Zhang, Lian-Yang Zhang, Dong-po Jiang, Shi-jin Sun, Hao Tang, Dong Liu, Wen-Qun Yang, Shan-Mu Ai |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Urinary Bladder lcsh:Medicine Abdominal binders Urinary Catheters Trauma surgery department law.invention Catheters Indwelling Randomized controlled trial law Compression Bandages Laparotomy Abdomen Pressure medicine Humans Prospective cohort study Intra abdominal pressure Aged Postoperative Care business.industry lcsh:R General Medicine Perioperative Middle Aged Bandages Surgery medicine.anatomical_structure Original Article Female business |
| Zdroj: | Saudi Medical Journal Saudi Medical Journal, Vol 37, Iss 1, Pp 66-72 (2016) |
| ISSN: | 1658-3175 0379-5284 |
| Popis: | Objectives: To investigate the effect of non-elastic/elastic abdominal binders on intra-vesical pressure (IVP), physiological functions, and clinical outcomes in laparotomy patients at the perioperative stage. Methods: This prospective study was conducted from May to October 2014 at the Trauma Surgery Department, Daping Hospital, Chongqing, China. Laparotomy patients were randomly divided into non-elastic abdominal binder group (28 patients), and elastic abdominal binder group (29 patients). Binders were applied for 14 days following the operation, or until discharge. Demographic information, Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation II (APACHE-II) scores (prior to the operation, on the first day after operation, the day IVP measurement was stopped, and one day before discharge), and outcomes were recorded. The IVP was measured before the operation to postoperative day 7. Results: There were no significant differences in the demographic information, outcomes, SOFA or APACHE-II scores between the 2 groups. Initial out-of-bed mobilization occurred earlier in the elastic binder group (3.2 ± 2.0 versus 5.0 ± 3.7 days, p =0.028). A greater increase in IVP was observed in the non-elastic binder group than in the elastic binder group (2.9 ± 1.1 versus 1.1 ± 0.7 mm Hg, p =0.000). Conclusion: Elastic binders have relatively little effect on IVP and are more helpful at promoting postoperative recovery than non-elastic binders. Therefore, elastic binders are more suitable for clinical use. Saudi Med J 2016; Vol. 37 (1): 66-72 doi: 10.15537/smj.2016.1.12865 How to cite this article: Zhang HY, Liu D, Tang H, Sun SJ, Ai SM, Yang WQ, et al. The effect of different types of abdominal binders on intra-abdominal pressure . Saudi Med J 2016; 37: 66-72 . |
| Databáze: | OpenAIRE |
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