Negative Pressure Therapy in Abdominal Compartment Syndrome

Ciuntu, Bogdan Mihnea; Vasiluta, Ciprian; Anton, Nicoleta; Ciuntu, Roxana Elena; Damian, Mihaela; Ciumanghel, Adi; Blaj, Mihaela; Azoicăi, Doina; Georgescu, Şt

doi:10.37358/rc.17.8.5792

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Such an acute event probably determined the patients to confront their apprehension about coming to a hospital during a lockdown period. Postoperative complications of cataract surgery are also suscepti-ble to be rapidly diagnosed and emergency therapy is of utmost importance (13,14,15,16,17,18). Special interdisciplinary procedures helped reduce the length of hospital stay (18).…”

Section: Discussionmentioning

confidence: 99%

Ophthalmic pathology treated during Covid-19 at the Ophthalmology Clinic of “Sf. Spiridon” County Clinical Emergency Hospital in Iaşi, Romania

Bogdănici

2021

MSJ

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Within the current epidemiological context and due to the increased risk of infectivity, this article focuses on the practical activity of "Sf. Spiridon" Ophthalmology Clinic in Iaşi, during the emergency period (March 16 th -May 16 th , 2020), the evaluated ocular pathology and the approached strategy from the point of view of med ical and surgical vision. Material and methods: As an Emergency Hospital and Tertiary Center of Moldova, Romania "Sf. Spiridon" Hospital in Iaşi was the only hospital in the region that dealt with all the urgent ophthalmological pathology during COVID-19. The clinic worked due to the established protocol, the patient's circuit was changed, with the buffer zone for the suspicious COVID-19 patient, where the patient was hospitalized until the negative PCR result. All patients having a negative PCR test benefited from both medical and / or surgical treatment depending on the type of ocular pathology. Results: 619 patients were examined in the emergency room, of which 61 patients were hospitalized in Clinic I Ophthalmology, "Sf. Spiridon" Hospital in Iaşi, between March 16 and May 16, 2020. Most patients (59%) came from the neighboring counties (Suceava, Vaslui, Piatra Neamţ, Bacău) the rest being from Iaşi (41%). The age varied from 2 to 87 years, the average age being 51.72 ± 22.16. Most frequently, patients were hospitalized with retinal detachment (29.5%), trauma (24.6%) and corneal sclerosis (13.1%), most cases being surgical. The average length of stay was 6.3 days. The average time of surgery stages was 45 minutes. The condition at discharge was in 60% of cases improved and 30% cured. All patients tested negative for COVID-19 PCR. Visual acuity and IOP showed slightly higher / lower changes at discharge than a t the time of admission. Depending on the diagnosis, the average stay for the patients with retinal detachment was about 4 days, while for patients with glaucoma (13 days) or ulcer corneal (12 days), the long-term hospitalization exceeded 12 days. The multivariate analysis showed that about 10% of the number of days spent in hospital (dependent variable) can be e xplained by the diagnosis of hospitalization and the type of intervention. Correlated with the status of discharge, the number of days spent in hospital did not differ significantly. Conclusions: Most of the ophthalmological activity during the pandemic was surgical, due to the large number of trauma cases from neighboring counties, being the only non-COVID-19 hospital in the North-eastern region of Romania. Complying with the protocol suggested by

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Section: Discussionmentioning

confidence: 99%

Ophthalmic pathology treated during Covid-19 at the Ophthalmology Clinic of “Sf. Spiridon” County Clinical Emergency Hospital in Iaşi, Romania

Bogdănici

2021

MSJ

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“…The combination of decompressive laparotomy and negative pressure therapy has been shown to effectively reduce intra-abdominal pressure, improve visceral perfusion, and decrease the transmission of inflammatory mediators into the bloodstream [15]. These interventions can lower the risk of developing multiorgan dysfunction due to sepsis, which is a serious complication of acute pancreatitis.…”

Section: Iapmentioning

confidence: 99%

Severe Acute Pancreatitis Treated with Negative Pressure Wound Therapy System: Influence of Laboratory Markers

Ciuntu,

Vintilă,

Tanevski

et al. 2023

JCM

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(1) Background: An open abdomen is a serious medical condition that requires prompt and effective treatment to prevent complications and improve patient outcomes. Negative pressure therapy (NPT) has emerged as a viable therapeutic option for temporary closure of the abdomen, offering several benefits over traditional methods. (2) Methods: We included 15 patients with pancreatitis who were hospitalized in the I–II Surgery Clinic of the Emergency County Hospital “St. Spiridon” from Iasi, Romania, between 2011–2018 and received NPT. (3) Results: Preoperatively, the mean IAP level was 28.62 mmHg, decreasing significantly postoperatively to 21.31 mmHg. The mean level of the highest IAP value recorded in pancreatitis patients treated with VAC did not differ significantly by lethality (30.31 vs. 28.50; p = 0.810). In vacuum-treated pancreatitis patients with a IAP level > 12, the probability of survival dropped below 50% during the first 7 days of stay in the ICU, so that after 20 days the probability of survival was approximately 20%. IAP enters the determinism of surgery with a sensitivity of 92.3% and a specificity of 99%, the cut-off value of IAP being 15 mmHg. (4) Conclusions: The timing of surgical decompression in abdominal compartment syndrome is very important. Consequently, it is vital to identify a parameter, easy to measure, within the reach of any clinician, so that the indication for surgical intervention can be made judiciously and without delay.

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Negative Pressure Therapy in Abdominal Compartment Syndrome

Cited by 2 publications

References 15 publications

Ophthalmic pathology treated during Covid-19 at the Ophthalmology Clinic of “Sf. Spiridon” County Clinical Emergency Hospital in Iaşi, Romania

Ophthalmic pathology treated during Covid-19 at the Ophthalmology Clinic of “Sf. Spiridon” County Clinical Emergency Hospital in Iaşi, Romania

Severe Acute Pancreatitis Treated with Negative Pressure Wound Therapy System: Influence of Laboratory Markers

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