Intensive Therapy of the Respiratory Failure Arising after the Plasty of Large Ventral Hernias

Authors: Hasanov FJ*, Musayeva NZ, Asgarova GA and Abbasova MT

Volume 3, Issue 3

Abstract

The pressure within the abdominal cavity is normally little more than atmospheric pressure [1-3]. However, even small increases in intra-abdominal pressure can have adverse effects on renal function, cardiac output, hepatic blood flow, respiratory mechanics and intracranial pressure [4-6]. Significant increases in intraabdominal pressure are seen in a wide variety of conditions commonly encountered in the intensive care unit [7]. Abdominal compartment syndrome describes the combination of increased intra-abdominal pressure and end-organ dysfunction, has a high mortality [1,4,8]. One of the post-operational complications of the plastics of large ventral hernia is the development of respiratory failure (RF) [9]. This is caused by increased intra-abdominal pressure (IAP), encountered in 62% of patients with large ventral hernia. Prognosis herein is substantially determined by timely compensation of the respiratory malfunction of lungs [7,9]. There search objective – is to define the efficiency of noninvasive artificial ventilation of lungs (NAVL) during RF, arising after the plasty of larger ventral hernias.

Keywords: Respiratory failure; Intra-abdominal pressure; Noninvasive ventilation

View PDF