Normative postpartum intraabdominal pressure: potential implications in the diagnosis of abdominal compartment syndrome
ABSTRACT We sought to establish normative values of intraabdominal pressure (IAP) in postpartum women with and without arterial hypertension.
Bladder pressure was measured via a Foley catheter 1 hour following completion of cesarean section in supine and semirecumbent positions in 21 patients.
Mean supine IAP (6.4 +/- 5.2 mm Hg) was significantly lower than semirecumbent IAP (11.6 +/- 7.2 mm Hg) (P < .05). Body mass index (BMI) was significantly correlated to IAP regardless of the gestational age (r(2) supine = 0.46, semirecumbent = 0.37; P = .004 for either). Increasing gravidity was associated with decreasing IAP. Patients with arterial hypertension had higher BMI, were delivered earlier, and had higher IAP than patients with normal arterial pressure, either in supine or semirecumbent position. However, these relationships were not significant when results were controlled for BMI.
Postcesarean section IAP is higher than in the general surgical population. Patients with hypertensive disorders have IAPs approaching to intraabdominal hypertension range.
Conference Paper: FIELDS-finite element design software[Show abstract] [Hide abstract]
ABSTRACT: A computer program called FIELDS (finite element design software) for the analysis of electric, magnetic, and thermal problems has been developed. The main programming language used is Fortran, with utility routines written in C and assembler. The total program size is in excess of 5000 lines. The goal of this project was to design a user-friendly, two-dimensional finite-element analysis package for IBM PC/XT. Users of the program need not understand the equations or algorithms involved. It is concluded that this program provides a low-cost alternative to mainframe computer-aided designProgrammable Control and Automation Technology Conference and Exhibition, 1988. Conference Proceedings., Fourth Annual Canadian; 11/1988
- Annales d Endocrinologie 10/2006; 67(5):448-448. DOI:10.1016/S0003-4266(06)72774-3 · 0.66 Impact Factor
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ABSTRACT: Hemorrhagic shock is the most common form of shock encountered in obstetric practice. Interventions that may limit transfusion requirements include normovolemic hemodilution, use of recombinant activated factor VII, selective embolization of pelvic vessels by interventional radiology, and the use of the cell saver intraoperatively. Current understanding of the mechanisms of acute coagulopathy calls into question the current transfusion guidelines, leading to a tendency to apply massive transfusion protocols based on hemostatic resuscitation despite lack of prospective data.American journal of obstetrics and gynecology 06/2011; 205(6):526-32. DOI:10.1016/j.ajog.2011.06.009 · 3.97 Impact Factor