To evaluate outcome in prevention of ACS in blunt trauma abdomen cases of management

Abstract

Background & Methods: The aim of the study is to assess outcome in prevention of ACS in blunt trauma abdomen cases. The bladder is drained & then it is filled with 25 ml of normal saline. This saline in the bladder acts as a passive diaphragm for pressure transmission. The drainage tube is clamped beyond the aspiration port & a 16-gauge needle is inserted into the port. Results: Marked improvement in the vitals & other parameters after conservative management is shown in the chart. Pulse was reduced by 41% Respiratory rate improved by 65%, & urine output was improved from 318.5 ml/12 hr. to 1103.4 ml/12 hr. 100% patients developed respiratory distress in the ACS group while 14.4% of patients developed respiratory distress in the non ACS affected group.
Conclusion: Reversal of all the adverse effects of raised IAP & ACS, were reflected in terms of improvement in vitals i.e. pulse rate, mean IAP, respiratory rate & urine output of surviving patients after non-operative management. There has been significant decrease in the raised intra-abdominal pressure after incorporation of non-operative measures. Patient compliance has been better with the conservative approach. Thus it can be concluded that, Abdominal compartment syndrome is prevalent in blunt trauma abdomen patients, adding to the cause of increased mortality