Changes of Intra Abdominal Pressure During Surgeries in Prone Position as a Marker of Renal Damage

Medical University of Warsaw

Status: Enrolling

Conditions: Spine Surgery; Prone Postion; Intraabdominal Hypertension

Treatments: Device: Intra abdominal pressure measurement

Study type: Observational

Funder types: Other

Identifiers

NCT05626868

MG/M/37/37/20(1)

Details and patient eligibility

About

Background: Patients undergoing surgical operations in prone position do not have a measure of intra abdominal pressure as a standard procedure. Many of them could have elevated values of this parameter and could be exposed to possible renal damage due to a stiffening of the abdominal muscles while being positioned prone.

Purpose of study: Intraoperative intrabdominal pressure measurement and evaluation of correlation with possible postsurgical complications.

Methodology: Electronic device able to measure intra abdominal pressure is connected between a Foley catheter and a urinary collecting bag. During the procedure, values of the intra abdominal pressure are displayed on a monitor next to anaesthetic machine in real time. The numbers representing the pressure in mmHG are assessed and recorded.

Discussion: Possible correlation between intra abdominal hypertension and postsurgical complications in patients operated in prone position could be a foundation to further clinical trials and presurgical assessment of intraabdominal pressure.

Enrollment: 24 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Consent to participate in the study
• Patients qualified for surgical stabilization of the spine in prone position

Exclusion criteria

• No consent to participate in the study or inability to obtain consent
• The inability to insert a urinary catheter
• No indication for urinary catheter
• Patients undergoing palliative treatment
• Patients with advanced liver and kidney disease

Trial design

24 participants in 1 patient group

Patients for spine surgery in prone position

Treatment:

Device: Intra abdominal pressure measurement