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Investigation of the Effects of Different Intraabdominal Pressures on Optic Nerve Sheath Diameter in Patients Undergoing Major Abdominal Surgery

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Abstract

Increased intraabdominal pressure (IAP) has deleterious effects on intracranial pressure. In this study, we intended to investigate the effects of intraabdominal pressure values on intracranial pressure (ICP) measured by ultrasound-assisted optic nerve sheath diameter (ONSD) measurement in patients who underwent major surgery. Observational study. All patients’ age, gender, weight, types of surgeries, comorbidities, Acute Physiology and Chronic Health Evaluation (APACHE) score, Sequential Organ Failure Assessment (SOFA) score, operation time, and amount of fluid administered during the operation were all recorded. Intraabdominal pressure and optic nerve sheath diameter measurements were measured. The patients were separated into 3 groups: group I, intraabdominal pressure 0–11 mmHg; group II, intraabdominal pressure 12–19 mmHg; and group III, intraabdominal pressure 20 mmHg and above. Intensive care unit (ICU) stay and prognosis were all recorded. Intraabdominal pressure, left optic nerve sheath diameter, right optic nerve sheath diameter, and heart rate (HR) measurements were meaningfully higher in group II and group III compared to group I (p < 0.001 for each), and group III was significantly higher compared to group I (p < 0.001). In patients with high intraabdominal pressure, optic nerve sheath diameter follow-up with ultrasonography gains great importance. We recommend that attention should be paid to this situation.

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Authors and Affiliations

  1. Department of Anesthesiology and Intensive Care, Trakya University Medical Faculty, 22030, Edirne, Turkey

    Mehmet Turan Inal, Dilek Memis, Emin Tunc Demir & İsmail Arslan

  2. Department of Biostatistics, Trakya University Medical Faculty, Edirne, Turkey

    Selcuk Korkmaz

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  1. Mehmet Turan Inal
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  2. Dilek Memis
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  3. Emin Tunc Demir
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  4. İsmail Arslan
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  5. Selcuk Korkmaz
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Correspondence to Mehmet Turan Inal.

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Inal, M., Memis, D., Demir, E. et al. Investigation of the Effects of Different Intraabdominal Pressures on Optic Nerve Sheath Diameter in Patients Undergoing Major Abdominal Surgery. Indian J Surg 84, 1051–1061 (2022). https://doi.org/10.1007/s12262-021-03212-3

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  • DOI: https://doi.org/10.1007/s12262-021-03212-3

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