Role of Intra-abdominal pressure in the outcomes of perforation peritonitis.

Not yet recruiting

Brief Summary: Intra-abdominal pressure is raised in many abdominal surgical emergencies and has implications on patient outcomes in terms of both morbidity and mortality.

An ideal method of measuring the intra-abdominal pressure would be by use of an intra-abdominal transducer. However, indirect methods have been found to give a good estimate of the same.

The present study utilizes bladder catheterization and saline manometry to measure the intra-abdominal pressure as per WSACS guidelines and to correlate the same with the outcomes of perforation peritonitis using objective scoring systems such as APACHE and SOFA.

Recruitment & Eligibility

Inclusion Criteria

Patients of perforation peritonitis undergoing intervention in the form of emergency laparotomy.

Exclusion Criteria

1.Pregnancy 2.History of previous abdominal surgery 3.Failed urethral catheterization.

Primary Outcome Measures

Name	Time	Method
Values of intra-abdominal pressure	1.At presentation \| 2.Just before induction of GA \| 3.Post-induction of GA \| 4.24 hours after surgery \| 5.48 hours after surgery

Secondary Outcome Measures

Name	Time	Method
All-cause mortality at 30 days post-laparotomy.	Duration of hospital stay,

Locations (1): Maulana Azad Medical College and associated Lok Nayak Hospital
🇮🇳
Central, DELHI, India
Maulana Azad Medical College and associated Lok Nayak Hospital
🇮🇳Central, DELHI, India
Pritesh Kumar N
Principal investigator
9632297674
pkn644@gmail.com