Renal Function and Circulation Under the Influence of Pneumoperitoneum

  • L. N. Diebel
Chapter

Abstract

In 1923*, Thorington and Schmidt [1] were stimulated to investigate the effects of increased intra-abdominal pressure (IAP) on renal function in a patient with malignant ascites whose urine output improved following paracentesis. In a subsequent canine study they demonstrated that the animals became oliguric at an IAP of 15–30 mmHg and anuric when IAP exceeded 30 mmHg.

Keywords

Cardiac Output Plasma Renin Activity Atrial Natriuretic Factor Intraabdominal Pressure Renal Vascular Resistance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Thorington JM, Schmidt CF (1923) A study of urinary output and blood pressure changes resulting in experimental ascites. Am J Med Sci 165:880–886CrossRefGoogle Scholar
  2. 2.
    Dunn MJ, Hood VL (1977) Prostaglandins and the kidney. Am J Physiol 233:169–184PubMedGoogle Scholar
  3. 3.
    Garrison RN, Wilson MA, Matheson PJ, Spain DA (1995) Nitric oxide mediates redistribution of intrarenal blood flow during bacteremia. J Trauma 39:90–97PubMedCrossRefGoogle Scholar
  4. 4.
    Caldwell CB, Ricotta II (1987) Changes in visceral blood flow with elevated intraabdominal pressure. J Surg Res 43:14–20PubMedCrossRefGoogle Scholar
  5. 5.
    Barnes GE, Laine GA, Giam PY et al (1985) Cardiovascular responses to elevation of intraabdominal hydratic pressure. Am J Physiol 248:R208–R213PubMedGoogle Scholar
  6. 6.
    Harman PK, Kron IL, McLachlon HD et al (1982) Elevated intraabdominal pressure and renal function. Ann Surg 196:594–597PubMedCrossRefGoogle Scholar
  7. 7.
    Chiu AW, Chang LS, Birkett DH, Babayan RK (1996) A porcine model for renal hemodynamic study during laparoscopy. J Surg Res 60:61–68PubMedCrossRefGoogle Scholar
  8. 8.
    Vaughan ED, Shenasky JH, Gillenwater JY (1971) Mechanisms of acute hemodynamic response to ureteral occlusion. Invest Urol 9:109–18PubMedGoogle Scholar
  9. 9.
    Stone HH, Fulenwider JT (1977) Renal decapsulation in the prevention of post-ischemic oliguria. Ann Surg 186:343–355PubMedCrossRefGoogle Scholar
  10. 10.
    Bloomfield GL, Blocher CR, Fakhry IF et al (1996) Elevated intra-abdominal pressure upregulates the renin-angiotensin-aldosterone system. J Trauma 41:193 (abstr)Google Scholar
  11. 11.
    Julius S, Sanchez R, Malayan S et al (1982) Sustained blood pressure elevation to lower body compression in pigs and dogs. Hypertension 4:782–788PubMedGoogle Scholar
  12. 12.
    Price HL (1960) Effects of carbon dioxide on the cardiovascular system. Anesthesiology 21:652–657PubMedCrossRefGoogle Scholar
  13. 13.
    Le Roith D, Bark H, Nyska M, Glick SN (1982) The effects of abdominal pressure in plasma antidiuretic hormone levels in the dog. J Surg Res 32:65–69PubMedCrossRefGoogle Scholar
  14. 14.
    Shenasky JH, Gillinwater JY (1972) The renal hemodynamic and functional effects of external counter pressure. Surg Gynecol Obset 134:253–258Google Scholar
  15. 15.
    Bradley SE, Bradley GP (1947) The effects of increased intraabdominal pressures on renal function in man. J Clin Invest 26:1010–22CrossRefGoogle Scholar
  16. 16.
    Richards WO, Scovill W, Shin B, Reed W (1983) Acute renal failure associated with increased intraabdominal pressure. Ann Surg 197:183–187PubMedCrossRefGoogle Scholar
  17. 17.
    Cullen DJ, Coyle JP, Teplick R, Lang MC (1989) Cardiovascular, pulmonary, and renal effects of massively increased intra-abdominal pressure in critically ill patients. Crit Care Med 17:118–121PubMedCrossRefGoogle Scholar
  18. 18.
    Platell C, Hall J, Dobb G (1990) Impaired renal function due to raised intraabdominal pressure. Intensive Care Med 16:328–329PubMedCrossRefGoogle Scholar
  19. 19.
    Smith JH, Merrell RC, Raffin TA (1985) Reversal of post-operative anuria by decompressive celiotomy. Arch Intern Med 145:553–554Google Scholar
  20. 20.
    Sugrue M, Buist MD, Houriham F et al (1995) Prospective study of intraabdominal hypertension and renal function after laparotomy. Br J Surg 82:235–238PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1998

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  • L. N. Diebel

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