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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients for spine surgery in prone position |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intra abdominal pressure measurement | Device | Device: Biometrix - Intraabdominal pressure monitoring set Intraabdominal pressure monitoring with the intended set in values of milimeters of mercury (mmHg) in real time. |
| Measure | Description | Time Frame |
|---|---|---|
| Increase in intra abdominal pressure during surgery. | Change in intra abdominal pressure during surgery in prone position. | Intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation of increased abdominal pressure with renal dysfunction assessed by creatinine. | Assessment of renal function in labolatory tests: creatinine change (mg/dl). | From start to eight hours after the surgery. |
| Correlation of increased abdominal pressure with renal dysfunction assessed by urea. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients qualified for spinal surgery in prone position, who consent to praticipate in the study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bartosz Stangiewicz, MD | Contact | +48605941973 | bartosz.stangiewicz@wum.edu.pl |
| Name | Affiliation | Role |
|---|---|---|
| Rafał Kowalczyk, MD | Medical Unieveristy of Warsaw | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Warsaw: 1st Department of Anaesthesiology and Intensive Therapy | Recruiting | Warsaw | Masovian Voivodeship | 02-005 | Poland |
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| ID | Term |
|---|---|
| D059325 | Intra-Abdominal Hypertension |
| ID | Term |
|---|---|
| D003161 | Compartment Syndromes |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D014652 | Vascular Diseases |
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Assessment of renal function in labolatory tests: urea change (mg/dl). |
| From start of surgery to eight hours after the surgery. |
| Correlation of increased abdominal pressure with renal dysfunction assessed by potassium. | Assessment of renal function in labolatory tests: potassium change (mg/dl). | From start of surgery to eight hours after the surgery. |
| Correlation of increased abdominal pressure with mioglobin. | Assessment in labolatory tests: mioglobin change (mg/dl). | From start of surgery to eight hours after the surgery. |
| D002318 |
| Cardiovascular Diseases |