Two case studies of cardiopulmonary effects of intra-abdominal

Surg. Clin. North Am. · Dec 2012

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Two case studies of cardiopulmonary effects of intra-abdominal hypertension.

Intra-abdominal hypertension falsely elevates the pulmonary artery pressure. Volumetric pulmonary artery catheter monitoring is an optionfor estimating preload in this condition. ⋯ Pulmonary hypertension reduces cardiac function which may be improved with inotropes that simultaneously reduce pulmonary artery pressure. Oxygenation may be improved with elevated PEEP and FiO(2).

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- Ram Nirula.
- Division of General Surgery, University of Utah School of Medicine, Salt Lake City, UT 84132, USA. r.nirula@hsc.utah.edu
- Surg. Clin. North Am. 2012 Dec 1;92(6):1679-84.
AbstractIntra-abdominal hypertension falsely elevates the pulmonary artery pressure. Volumetric pulmonary artery catheter monitoring is an optionfor estimating preload in this condition. Treatment of intra-abdominal hypertension begins with medical therapy but once abdominal compartment syndrome develops it requires decompressive laparotomy for definitive management. Pulmonary hypertension reduces cardiac function which may be improved with inotropes that simultaneously reduce pulmonary artery pressure. Oxygenation may be improved with elevated PEEP and FiO(2).Copyright © 2012 Elsevier Inc. All rights reserved.

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Two case studies of cardiopulmonary effects of intra-abdominal hypertension.

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