Abstract

The aim of the study is to assess the role of nonoperative management in reduction and prevention of ACS in blunt trauma abdomen cases. The direct methods are quite accurate over all ranges of IAP, it is impractical and not feasible for routine practice. Indirect pressure measurement is done through Inferior Vena cava, gastric, rectal and Urinary Bladder. The simplest and the method of choice is transurethral measurement of UBP using a Foley’s catheter. The bladder is drained and then it is filled with 25 ml of normal saline. Results: Improvement in the vitals & other parameters after conservative management is shown in the chart. Pulse was reduced by 41% Respiratory rate improved by 65%, and urine output was improved from 315.29 ml/12 hr. to 1167.66 ml/12 hr. 100% patients developed respiratory distress in the ACS group while 17.8% of patients developed respiratory distress in the non ACS affected group. Conclusion: Out of 264 studied cases, ACS was diagnosed in 18 patients (having intra-vesical pressure>20 mm of Hg). Reversal of all the adverse effects of raised IAP and ACS, were reflected in terms of improvement in vitals output of surviving patients after non-operative management. As there was significant improvement in vitals and other parameters, after applying non-operative management therapy in blunt trauma abdomen patients with IAH, in terms of reduced morbidity and mortality and improved survival.

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