IPP-SHR
IPP-SHR is a medical term that stands for Intraperitoneal Pressure-Systemic Hemodynamic Response. This term is used to describe the physiological response of the body to changes in intraperitoneal pressure.
Overview
Intraperitoneal pressure (IPP) is the pressure within the peritoneal cavity, which is the space within the abdomen that contains the intestines, the stomach, and the liver. Changes in this pressure can have significant effects on the body's systemic hemodynamic response (SHR), which is the body's response to changes in blood flow or blood pressure.
Physiology
The physiology of the IPP-SHR relationship is complex and involves several different body systems. When the IPP increases, it can compress the abdominal organs and blood vessels, leading to changes in blood flow and pressure. This can trigger a systemic hemodynamic response, which can include changes in heart rate, blood pressure, and blood flow to various organs.
Clinical Significance
The IPP-SHR relationship is particularly important in certain medical situations, such as during laparoscopic surgery, when the abdomen is intentionally inflated with gas to allow for better visualization of the abdominal organs. This increase in IPP can trigger a significant SHR, which can have implications for the patient's cardiovascular stability during the procedure.
In addition, conditions that cause an increase in IPP, such as abdominal compartment syndrome, can also trigger a significant SHR. This can lead to serious complications, including organ failure and death, if not promptly recognized and treated.
See Also
- Intraperitoneal Pressure
- Systemic Hemodynamic Response
- Laparoscopic Surgery
- Abdominal Compartment Syndrome
References
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Contributors: Prab R. Tumpati, MD