3 research outputs found
Abdominal compartment syndrome in dogs
Sindrom abdominalnog odjeljka predstavlja karakteristiÄno stanje s poviÅ”enim vrijednostima intraabdominalnog tlaka viÅ”im od 12 mmHg, dilatacijom abdomena popraÄeno zatajenjem unutarnjih organa: bubrega, pluÄa i krvožilnog sustava. BuduÄi da se uz njega Äesto javljaju i brojne komplikacije kao i zatajenje brojnih organskih sustava, razvoj sindroma abdominalnog odjeljka predstavlja vrlo opasno i hitno stanje s visokom stopom mortaliteta. U humanoj medicini, ovaj sindrom je prepoznat veÄ godinama, a do sada je dobro istražena i opisana njegova klasifikacija, etiologija, patofiziologija, kliniÄka slika, dijagnostiÄki postupci kao i smjernice za uspjeÅ”no lijeÄenje. U veterinarskoj medicini pojava ovoga sindroma u kliniÄkoj praksi vrlo Äesto prolazi nedijagnosticirano. Zbog Å”irokog spektra nespecifiÄnih simptoma koji se kod ovog oboljenja javljaju u pasa, kao i zbog priliÄno rijetkog prakticiranja mjerenja vrijednosti intraabdominalnog tlaka, razvoj sindroma abdominalnog odjeljka Äesto se na vrijeme ne prepoznaje i/ili se kao takav pripisuje drugim patoloÅ”kim stanjima razliÄitih organskih sustava. Iz istog je razloga u veterinarskoj medicini do sada provedeno premalo kliniÄkih ispitivanja i znanstvenih radova u pasa, koji bi pružali odgovor i detaljnije objasnili etiologiju, mehanizam nastanka, progresiju, adekvatne dijagnostiÄke postupke te smjernice u lijeÄenju ovoga sindroma. S obzirom da u pasa joÅ” uvijek nisu jasno definirane graniÄne vrijednosti intraabdominalnog tlaka, teÅ”ko je govoriti u kojem se trenutku javlja abdominalna hipertenzija i ako se javi hoÄe li rezultirati pojavom navedenog sindroma. Postavljanje egzaktne dijagnoze sindroma abdominalnog odjeljka u pasa je otežano s obzirom da do razvoja sindroma može doÄi zbog razliÄitih traumatskih stanja, ozljeda, opekotina i razliÄitih organskim ili sistemskih bolesti. Smjernice za lijeÄenje za sada u veterinarskoj medicini nisu specifiÄne, nije opisan jasan protokol lijeÄenja u pasa, veÄ se on odvija prema smjernicama preuzetim iz humane medicine. Sigurno je da je potrebno provesti dodatna znanstvena i kliniÄka istraživanja koja Äe pridonijeti boljem shvaÄanju ovoga sindroma. Usvojena nova znanja pridonijet Äe njegovu lakÅ”em prepoznavanju, dijagnosticiranju i adekvatnom lijeÄenju na dobrobit svih buduÄih pacijenata.Abdominal compartment syndrome is a characteristic condition with an intraabdominal pressure higher than 12 mmHg, dilatation of the abdomen accompanied by multiorgan failure, especially the kidney, lungs and cardiovascular system. The development of abdominal compartment syndrome is a very urgent and life-threatening condition with high mortality since it is often accompanied by numerous complications and multiple organ failure. This syndrome has been recognized in human medicine for years and its classification, aetiology, pathophysiology, clinical signs, diagnostic procedures and treatment guidelines have been described. On the other hand, this syndrome often goes unrecognized and undiagnosed in veterinary practice. Due to the broad range of non-specific clinical signs that occur in dogs and due to the rare practice of measuring intra-abdominal pressure, the development of compartment syndrome is often not recognized by veterinarians or it is attributed to other diseases. For the same reason, very few clinical trials or scientific studies in dogs have been conducted to explain the aetiology, pathophysiology, progression, adequate diagnostic procedures and treatment guidelines for this syndrome in veterinary medicine. Since the limits of intraabdominal pressure are not clearly defined in dogs, it is difficult to say when abdominal hypertension actually occurs, and once it occurs whether it will progress into a life-threatening condition. Making the final diagnosis of abdominal compartment syndrome in dogs is very difficult as it can develop due to different traumatic conditions, injuries, burns or organic and systemic diseases. The guidelines for treatment in veterinary patients are not specific, with no individual treatment protocol for dogs described to date, and so treatment is performed according to guidelines taken from human medicine. Indeed, scientific and clinical studies will be needed to gain a better understanding of compartment syndrome, which will enable its easier recognition, better diagnosis and more successful treatment for the benefit of all future patients
Abdominal compartment syndrome in dogs
BuduÄi da je rijeÄ o veoma kompleksnom i nedovoljno istraženom sindromu, razumljivo je kako mu se u znanosti i kliniÄkoj praksi posljednjih godina pridaje sve viÅ”e pažnje. Razvoj sindroma abdominalnog odjeljka predstavlja vrlo opasno i hitno stanje sa priliÄno visokom stopom mortaliteta buduÄi da se uz njega Äesto javljaju i brojne komplikacije kao i multipla organska zatajenja. U humanoj medici ovaj sindrom je prepoznat veÄ godinama te je do sada opisana njegova klasifikacija, etiologija, patofiziologija, kliniÄka slika, dijagnostiÄki postupci u njegovu otkrivanju kao i smjernice lijeÄenja. U veterinarskoj medicini pojava ovog sindroma u kliniÄkoj praksi veoma Äesto prolazi nedijagnosticirano. Zbog priliÄno Å”irokog spektra nespecifiÄnih simptoma koji se kod ovog oboljenja javljaju u pasa, kao i zbog priliÄno rijetkog prakticiranja mjerenja vrijednosti intraabdominalnog tlaka, razvoj sindroma odjeljka Äesto se ne prepozna ili se kao takav pripisuje drugim organskim bolestima. Iz istog razloga u veterinarskoj medicini obavljeno je premalo pokusa, provedeno je premalo kliniÄkih ispitivanja ili znanstvenih radova koji bi detaljnije objasnili mehanizam razvoja i progresiju ovog sindroma. PoÅ”to u pasa nisu jasno definirane graniÄne vrijednosti intraabdominalnog tlaka, teÅ”ko je govoriti kada se zapravo javlja abdominalna hipertenzija i hoÄe li ona rezultirati pojavom sindroma. Zbog navedenog, smjernice lijeÄenja za sada nisu specifiÄne, nije opisan jasan protokol lijeÄenja u pasa, veÄ se on odvija prema predloÅ”ku preuzetom iz humane medicine. Stoga, nesumnjivo je kako je potrebno provesti razna znanstvena i kliniÄka istraživanja koja Äe pridonijeti boljem shvaÄanju ovog sindroma. Usvojena nova znanja pridonijet Äe njegovu lakÅ”em prepoznavanju, dijagnosticiranju i lijeÄenju na dobrobit svih buduÄih pacijenata.Since abdominal compartment syndrome is a very complex and insufficiently researched syndrome, it is understandable that in recent years more attention has been given to it in the both science and clinical research. The development of abdominal compartment syndrome represents a very urgent and life threatening condition with a high mortality rate because it is often accompanied by numerous complications as well as multiple organ failure. This syndrome has been recognized in human medicine for years and also its classification, etiology, pathophysiology, clinical symptoms, diagnostis procedures and treatment guidelines have been described as well. On the other hand, the appearance of this syndrome in veterinary clinical practice often goes unrecognized and undiagnosed. Because of a wide range of non-specific symptoms that occur in dogs and also due to the rare practice of measuring intra-abdominal pressure, the development of compartment syndrome is often not recognized in veterinarians or it is attributed to some other organic diseases. For the same reason, very few experiments, clinical trials or scientific studies have been conducted to explain the development and progression of this syndrome in veterinary medicine. Since the limits of intra-abdominal pressure are not clearly defined in dogs, it is difficult to say when abdominal hypertension actually occurs and whether it will turn into a life-treatin condition. Furthermore, the guidelines for treatement in veterinary patients are not specific, an individual treatment protocol for dogs is not described so far, so the treatment is carried out according to guidelines taken from human medicine. To sum up, there is no doubt that it is necessary to organise various scientific and clinical studies that will contribute to a better understanding of this syndrome, which will contribute to its easier recognition, better diagnosis and more successful treatment for the benefit of all future patients
Abdominal compartment syndrome in dogs
BuduÄi da je rijeÄ o veoma kompleksnom i nedovoljno istraženom sindromu, razumljivo je kako mu se u znanosti i kliniÄkoj praksi posljednjih godina pridaje sve viÅ”e pažnje. Razvoj sindroma abdominalnog odjeljka predstavlja vrlo opasno i hitno stanje sa priliÄno visokom stopom mortaliteta buduÄi da se uz njega Äesto javljaju i brojne komplikacije kao i multipla organska zatajenja. U humanoj medici ovaj sindrom je prepoznat veÄ godinama te je do sada opisana njegova klasifikacija, etiologija, patofiziologija, kliniÄka slika, dijagnostiÄki postupci u njegovu otkrivanju kao i smjernice lijeÄenja. U veterinarskoj medicini pojava ovog sindroma u kliniÄkoj praksi veoma Äesto prolazi nedijagnosticirano. Zbog priliÄno Å”irokog spektra nespecifiÄnih simptoma koji se kod ovog oboljenja javljaju u pasa, kao i zbog priliÄno rijetkog prakticiranja mjerenja vrijednosti intraabdominalnog tlaka, razvoj sindroma odjeljka Äesto se ne prepozna ili se kao takav pripisuje drugim organskim bolestima. Iz istog razloga u veterinarskoj medicini obavljeno je premalo pokusa, provedeno je premalo kliniÄkih ispitivanja ili znanstvenih radova koji bi detaljnije objasnili mehanizam razvoja i progresiju ovog sindroma. PoÅ”to u pasa nisu jasno definirane graniÄne vrijednosti intraabdominalnog tlaka, teÅ”ko je govoriti kada se zapravo javlja abdominalna hipertenzija i hoÄe li ona rezultirati pojavom sindroma. Zbog navedenog, smjernice lijeÄenja za sada nisu specifiÄne, nije opisan jasan protokol lijeÄenja u pasa, veÄ se on odvija prema predloÅ”ku preuzetom iz humane medicine. Stoga, nesumnjivo je kako je potrebno provesti razna znanstvena i kliniÄka istraživanja koja Äe pridonijeti boljem shvaÄanju ovog sindroma. Usvojena nova znanja pridonijet Äe njegovu lakÅ”em prepoznavanju, dijagnosticiranju i lijeÄenju na dobrobit svih buduÄih pacijenata.Since abdominal compartment syndrome is a very complex and insufficiently researched syndrome, it is understandable that in recent years more attention has been given to it in the both science and clinical research. The development of abdominal compartment syndrome represents a very urgent and life threatening condition with a high mortality rate because it is often accompanied by numerous complications as well as multiple organ failure. This syndrome has been recognized in human medicine for years and also its classification, etiology, pathophysiology, clinical symptoms, diagnostis procedures and treatment guidelines have been described as well. On the other hand, the appearance of this syndrome in veterinary clinical practice often goes unrecognized and undiagnosed. Because of a wide range of non-specific symptoms that occur in dogs and also due to the rare practice of measuring intra-abdominal pressure, the development of compartment syndrome is often not recognized in veterinarians or it is attributed to some other organic diseases. For the same reason, very few experiments, clinical trials or scientific studies have been conducted to explain the development and progression of this syndrome in veterinary medicine. Since the limits of intra-abdominal pressure are not clearly defined in dogs, it is difficult to say when abdominal hypertension actually occurs and whether it will turn into a life-treatin condition. Furthermore, the guidelines for treatement in veterinary patients are not specific, an individual treatment protocol for dogs is not described so far, so the treatment is carried out according to guidelines taken from human medicine. To sum up, there is no doubt that it is necessary to organise various scientific and clinical studies that will contribute to a better understanding of this syndrome, which will contribute to its easier recognition, better diagnosis and more successful treatment for the benefit of all future patients