scholarly journals Pressure Distribution during Negative Pressure Wound Therapy of Experimental Abdominal Compartment Syndrome in a Porcine Model

Sensors ◽  
2018 ◽  
Vol 18 (3) ◽  
pp. 897
Author(s):  
Adrienn Csiszkó ◽  
Klaudia Balog ◽  
Zoltán Godó ◽  
Gyula Juhász ◽  
Katalin Pető ◽  
...  
Author(s):  
Adrienn Csiszkó ◽  
Klaudia Balog ◽  
Zoltán Attila Godó ◽  
Gyula Juhász ◽  
Katalin Pető ◽  
...  

1) Introduction: Negative pressure wound therapy (NPWT) is a frequently applied open abdomen (OA) treatment. There are only a few experimental data supporting this method and describing the optimal settings and pressure distribution in the abdominal cavity during this procedure. The aim of our study was to evaluate pressure values at different points of the abdominal cavity during NPWT in experimental abdominal compartment syndrome (ACS) animal model. 2) Methods: In this study (permission Nr. 13/2014/UDCAR) 27 Hungahib pigs (15.4- 20.2 kg) were operated. ACS was generated by implanting a plastic bag in the abdomen through mini-laparotomy and filled with 2100- 3300 ml saline solution (37 C°) to an intraabdominal pressure (IAP) of 30 mmHg. After 3 hours, NPWT (Vivano Med ® Abdominal Kit, Paul Hartmann AG, Germany) or Bogota bag was applied. NPWT group was divided into -50, -100 and 150 mmHg suction group. Pressure distribution to the abdominal cavity was monitored at 6 different points of the abdomen via a multichannel pressure monitoring system. 3) Results: The absolute pressure levels were significantly higher above than below the layer. The values of the pressure were similar in the midline than laterally. Amongst the bowels, the pressure values changed periodically between 0 and -12 mmHg which might be caused by the peristaltic movements. 4) Conclusions: The porcine model of the present study seems to be well applicable for investigating ACS and NPWT. It was possible to provide valuable for clinicians. The pressure was well distributed by the protective layer to the lateral parts of the abdomen and this phenomenon did not change considerably during the therapy.


2020 ◽  
Author(s):  
Pete Allen ◽  
Jackson Pugh ◽  
Alexander Blau

ABSTRACT The incidence of compartment syndrome of the lumbar paraspinal muscles is exceedingly rare. Approximately 24 hours following a high-intensity kettlebell swing workout, a 33-year-old Sailor presented to the medical department on board a forward deployed Wasp-class amphibious assault ship with increasing discomfort in his middle and lower back, and evidence of rhabdomyolysis. Discomfort quickly turned to unrelenting pain coupled with dorsal paresthesias and rigidity in the paraspinal muscles. He was taken emergently to the operating room, where his paraspinal muscles were released via fasciotomy. As a result of limited resources aboard the deployed ship, a negative pressure wound dressing was fashioned using the supplies available aboard the ship. Following 3 days of the negative pressure wound therapy, muscle bulging decreased substantially, and the skin was closed. After 4 weeks of physical therapy, he returned to full duty.


2020 ◽  
Vol 29 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Niklas Biermann ◽  
Edward K. Geissler ◽  
Eva Brix ◽  
Daniel Schiltz ◽  
Clemens Muehle ◽  
...  

Critical Care ◽  
2008 ◽  
Vol 12 (Suppl 2) ◽  
pp. P323
Author(s):  
B Kubiak ◽  
S Albert ◽  
G Hutchinson ◽  
K Norbury ◽  
G Nieman

2017 ◽  
Vol 117 (12) ◽  
pp. 710-714 ◽  
Author(s):  
M. Krticka ◽  
D. Ira ◽  
A. Bilik ◽  
P. Rotschein ◽  
J. Svancara

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