Intravesical pressure: A new prognostic indicator in congenital diaphragmatic hernia

• Main Authors: Mohan K Abraham (Author), Naveen Viswanath (Author), P Ramakrishnan (Author), S Bindu (Author), P Kedari (Author), Aisha Naaz (Author), Lukman O Abdur Rahman (Author), Abdulrasheed A Nasir (Author), Sharon Mohan (Author), R Shivji (Author), P Sasidharan (Author)
• Format: Book
• Published: Wolters Kluwer Medknow Publications, 2011-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

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.

Item Description

0971-9261
1998-3891
10.4103/0971-9261.86864