Intraoperative Abdominal Pressure Measurement in Patients Undergoing Spine Surgeries in Prone Position as a Marker of Renal Damage
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- Increase in intra abdominal pressure during surgery.
研究概览
简要总结
Background: Patients undergoing surgical operations in prone position do not have a measure of intra abdominal pressure as a standard procedure. Many of them could have elevated values of this parameter and could be exposed to possible renal damage due to a stiffening of the abdominal muscles while being positioned prone.
Purpose of study: Intraoperative intrabdominal pressure measurement and evaluation of correlation with possible postsurgical complications.
Methodology: Electronic device able to measure intra abdominal pressure is connected between a Foley catheter and a urinary collecting bag. During the procedure, values of the intra abdominal pressure are displayed on a monitor next to anaesthetic machine in real time. The numbers representing the pressure in mmHG are assessed and recorded.
Discussion: Possible correlation between intra abdominal hypertension and postsurgical complications in patients operated in prone position could be a foundation to further clinical trials and presurgical assessment of intraabdominal pressure.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Consent to participate in the study
- •Patients qualified for surgical stabilization of the spine in prone position
排除标准
- •No consent to participate in the study or inability to obtain consent
- •The inability to insert a urinary catheter
- •No indication for urinary catheter
- •Patients undergoing palliative treatment
- •Patients with advanced liver and kidney disease
结局指标
主要结局
Increase in intra abdominal pressure during surgery.
时间窗: Intraoperative
Change in intra abdominal pressure during surgery in prone position.
次要结局
- Correlation of increased abdominal pressure with renal dysfunction assessed by urea.(From start of surgery to eight hours after the surgery.)
- Correlation of increased abdominal pressure with renal dysfunction assessed by potassium.(From start of surgery to eight hours after the surgery.)
- Correlation of increased abdominal pressure with mioglobin.(From start of surgery to eight hours after the surgery.)
- Correlation of increased abdominal pressure with renal dysfunction assessed by creatinine.(From start to eight hours after the surgery.)