Predictive Factors of Abdominal Compartment Syndrome in Neonatal Age
| Autor: | Giovanni Corsello, Rita Ortolano, Ettore Piro, Giuseppa Pinello, Ingrid Anne Mandy Schierz, Mario Giuffrè, Simona La Placa, Fortunato Siracusa |
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| Přispěvatelé: | Schierz,IA, Giuffrè, M, Piro,E, Ortolano,R, Siracusa,F, Pinello,G, La Placa,S, Corsello, G |
| Rok vydání: | 2013 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Neonatal intensive care unit Abdominal compartment syndrome Population Gestational Age Abdominal wall Settore MED/38 - Pediatria Generale E Specialistica Intubation Intratracheal Humans Medicine Lactic Acid education Abdominal Compartment Syndrome Predictive Factors in Neonatal Age Retrospective Studies education.field_of_study business.industry Incidence Abdominal wall defect Abdominal Wall Infant Newborn Obstetrics and Gynecology Gestational age Abdominal distension medicine.disease Respiration Artificial Surgery medicine.anatomical_structure Case-Control Studies Pediatrics Perinatology and Child Health Apgar Score Female Intra-Abdominal Hypertension medicine.symptom business |
| Zdroj: | American Journal of Perinatology. 31:049-054 |
| ISSN: | 1098-8785 0735-1631 |
| DOI: | 10.1055/s-0033-1334447 |
| Popis: | In the pediatric population, abdominal compartment syndrome (ACS) is a known complication of abdominal wall defect repair. However, there are only few reports on ACS in newborns and only a proposal of critical intra-abdominal pressure value (IAP) in term newborns, absent in preterm newborns. Although the prevalent clinical sign is tense abdominal distension, it may be difficult to distinguish ACS from pathologies that will not require decompression. The purpose of this study was to identify predictors for ACS and therefore morbidity or mortality indicators. We reviewed newborns presenting with tense abdominal distension and end organ failure. Anamnestic, clinical, laboratory, and instrumental investigations were analyzed to extrapolate predictors. Outcomes were compared with a control group. The incidence of ACS in our neonatal intensive care unit was 5% in the overall population of babies, 16% in tracheal-ventilated newborns, and 57% in infants with abdominal wall defects. We found that, with onset of acidosis or high gastric residuals, the lactate values will be predictive for mortality. We can also suggest paying particular attention to high lactate values just at the onset of distension, in infants with more advanced gestational age, with previously surgical repair, to determine early surgical intervention independently of a specific IAP measurement. |
| Databáze: | OpenAIRE |
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