Effects of Intraabdominal Pressure Elevations on Serum Cortisol, Aldosteron and Creatinine Levels and on Central Venous Pressure

摘要

Abdominal compartment syndromes (ACS) are generally known as organ failures that develop secondary to elevated intraabdominal pressure. Our aim in this study was to investigate the effects of elevated intraabdominal pressure on serum cortisol, aldosterone and creatinine levels, and on central venous pressure (CVP). For this purpose, 40 patients who applied to our clinics for abdominal complaints, with subsequent diagnosis of intraabdominal pressure elevations, were investigated.In conclusion, it was found that serum cortisol, aldosteron and creatinine levels became elevated and CVP values increased in elevated intraabdominal pressure. When making urgent decompression decision in patients with elevated intraabdominal pressure, levels of serum cortisol, aldosteron and creatinine should be taken into account, and an efficient liquid resuscitation should be performed even if CVP values are high, and intraabdominal pressure should be reduced rapidly.