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. 2011 Oct;16(4):129-31.
doi: 10.4103/0971-9261.86864.

Intravesical pressure: A new prognostic indicator in congenital diaphragmatic hernia

Mohan K Abraham  1 , Naveen Viswanath, P Ramakrishnan, S Bindu, P Kedari, Aisha Naaz, Lukman O Abdur Rahman, Abdulrasheed A Nasir, Mohan Sharon, R Shivji, P Sasidharan
Affiliations

Intravesical pressure: A new prognostic indicator in congenital diaphragmatic hernia

Mohan K Abraham et al. J Indian Assoc Pediatr Surg. 2011 Oct.

Abstract

Aims: To evaluate the usefulness of intravesical pressure as a prognostic indicator in congenital diaphragmatic hernia.

Material and methods: In 25 cases, bladder pressure was measured intraoperatively during repair.

Results: Cases were divided into three groups according to the intravesical pressure. Group 1: pressure <10 cm (n.9), Group 2: 10-15 cm (n.11) and Group 3: >15 cm (n.5). Number of ventilated days was tabulated against these groups. Median number of ventilated days for Group 1, with the lowest pressure, was 3 days, while that for Group 2 was 5 and for Group 3, with the highest pressure, was 10 days. This was significant, with a P-value of 0.016.

Conclusion: Measurement of intravesical pressure is a reliable prognostic indicator in newborns with congenital diaphragmatic hernia. It also helps in predicting postoperative ventilatory requirement.

Keywords: Bladder pressure; congenital diaphragmatic hernia; intra-abdominal pressure; pulmonary hypoplasia.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Abdominal pressure paralleled the number of days of ventilation
Figure 2
Figure 2
Higher the bladder pressure, longer the ventilation
See this image and copyright information in PMC

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