Sede Azogues - Medicina
URI permanente para esta comunidadhttps://dspace.ucacue.edu.ec/handle/ucacue/88
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Examinando Sede Azogues - Medicina por Materia "Abdominal compartment syndrome"
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Ítem Acceso Abierto Actualización del diagnóstico y manejo del síndrome compartimental abdominal. Revisión sistemática(Universidad Católica de Cuenca., 2023) Saldarriaga Basurto, Bryan Stalin; Rodas Andrade, Jorge Roberto; 1314637297; ., .Abdominal Compartment Syndrome (ACS) is defined as when two or more anatomical segments exhibit persistent intra-abdominal pressures (IAP) >20mmHg, associated with organ failure. Intra-abdominal hypertension (IAH) and ACS occur more frequently in patients with high morbidity and mortality rates. Continuous monitoring of critically ill patients, both medical and surgical, facilitates early diagnosis and appropriate ACS treatment. The detection of ACS involves measuring IAP, which can be done indirectly or directly, and the choice of medical or surgical treatment is based on each patient's needs. Objective: To describe the updated diagnosis and management of Abdominal Compartment Syndrome. Methodology: A review of the diagnosis and management of ACS was conducted through a descriptive, retrospective, qualitative approach based on scientific articles published in the last five years in Spanish, Portuguese, and English in databases such as SciELO, Science, PubMed, Taylor & Francis, Scopus, ProQuest. Results: After analyzing articles on the topic, 45 studies were obtained, followed by exclusion and inclusion methods, resulting in 30 papers for this systematization. Conclusion: The diagnosis of ACS requires the measurement of IAP, with the intravesical catheter being the gold standard. The management of ACS should be stepwise, ranging from conservative medical treatment to a surgical procedure, without needing to be mutually exclusive.Ítem Solo Metadatos Bolsa de Bogotá para manejo abdominal abierto(Universidad Católica de Cuenca., 2021) Reyes Novillo, Karla María; Rojas Chica, Rubén Dario; 0302681978; ., .Objective: To evaluate the current recommendation of the surgical technique with Bogota Bag to treat and/or avoid the progression to Abdominal Compartment Syndrome; the product of trauma, sepsis, among others, through a review of scientific literature. Material and methods: According to the research problem and the objectives outlined in this literature review, descriptive and retrospective research was conducted, using information retrieval from scientific societies, devoted to the study of Open Abdominal Management, as well as systemic reviews and scientific articles. In addition to the use of case reports, undergraduate and graduate theses, meta-analysis, bibliographic documents where open abdominal management using the Bogota Bag technique were reported. Results: At the end of the review of some bibliographies, it was found that the Bogota bag technique is one of the most used in temporary abdominal closure; its use is predominantly in the male sex, and its indication is most frequently in the case of a septic abdomen. Conclusions: This technique has presented a greater benefit when treating septic pathology; nevertheless, it presents complications due to its limitation of being able to control fluid loss, therefore certain authors reported cases with modification of the Bogota Bag obtaining better management and allowing a favorable evolution of the patient.
