%0 Journal Article
%T Presi車n intraabdominal y s赤ndrome compartimental en cirug赤a. Art赤culo de revisi車n Intraabdominal pressure and compartment syndrome in surgery. Review article
%A Roberto Sosa Hern芍ndez
%A Carlos A S芍nchez Portela
%A Sergio Santiago Hern芍ndez Iglesias
%J Revista de Ciencias Mˋˋdicas de Pinar del Rˋ-o
%D 2007
%I Editorial Ciencias M谷dicas
%X La hipertensi車n intraabdominal se define como el incremento de la presi車n dentro de la cavidad abdominal por encima de 10 cm. H2O, y se clasifica en cuatro grados de acuerdo a la severidad: I)- 10 -15 cm. H2O, II)- 16 -25 cm. H2O, III)- 26 -35 cm. H2O y IV)- mayor de 35 cm. H2O. El inter谷s por la PIA y sus mediciones comenz車 en la 迆ltima mitad del siglo XIX; en la revisi車n de la literatura se encontr車 que desde principios de siglo, en EE.UU. se midi車 por primera vez la PIA, hasta que se propuso un m谷todo estandarizado de medirla con la ayuda de la sonda de Foley por v赤a transvesical a mediado de siglo. Con la determinaci車n de m迆ltiples factores que incrementan la PIA se conocieron las causas que provocan cambios fisiopatol車gicos sist谷micos, la aparici車n de las manifestaciones cl赤nicas y del SCA en los grados III y IV, permitiendo tomar una conducta quir迆rgica precoz y menos riesgosa que podr赤a mejorar los resultados de la atenci車n a estos pacientes y su mortalidad. Intraabdominal hypertension is defined as the pressure increase within the abdominal cavity above 10 cm. H2O, and is classified into 4 degrees according to the severity: I, 10 - 15 cm. H2O; II, 16 - 25 cm. H2O; III, 26 - 35 cm. H2O; and IV, greater than 35 cm. H2O. The interest in the IP (Intraabdominal Pressure) and its measurements began in the last half of the 19th. century. In the review of the literature it was found that, since the beginning of the century, in U.S.A. IP was first measured, until a standardized method was proposed to measure it, with the help of a Foley's probe, transvesically, by the half of the century. As multiple factors were determined that increase IP, the causes that trigger system pathological changes were known, as well as the emergence of clinical manifestations and abdominal compartment syndrome of degree III and IV, which allowed to take a less risky and earlier surgical stand.
%K HIPERTENSI車N
%K CIRUG赤A
%K INTESTINOS
%K irrigaci車n sangu赤nea
%K ABDOMEN
%K fisiolog赤a
%K TRAUMATISMOS ABDOMINALES
%K S赤NDROMES COMPARTIMENTALES
%K HYPERTENSION
%K SURGERY
%K BOWELS
%K blood irrigation
%K ABDOMEN
%K physiology
%K ABDOMINAL TRAUMA
%K COMPARTMENT SYNDROME
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942007000100011