DOI: 10.36347/sjams.2020.v08i01.012

Pages: 61-64

Background: Intra-abdominal pressure is neglected entity in clinical practice. Intra abdominal hypertension affects various systems of the body. Objective of this study was to evaluate intra abdominal pressure and renal functions in critically ill children. Methods: This prospective study was carried out in the months of October and November 2019. Consecutive 30 critically ill children admitted in pediatric intensive care unit who required urinary catheterization were included in our study. Intra abdominal pressure was measured by intra vesical technique and renal functions were evaluated by using pediatric risk, injury, failure, loss of function and end stage kidney disease classification (pRIFLE classification). SPSS version 25 was used for statistical analysis. Results: Nine (30%) critically ill children had raised intra abdominal pressure. None of the patient had abdominal compartment syndrome. Increased intra abdominal pressure was significantly associated with worsening of pRIFLE class. Conclusion: Intra abdominal pressure and renal functions play important role in the management of critically ill children.