pneumoperitonium -
Conditions
Interventions
Conservative management consisting of intravenous fluid resuscitation,
nasogastric tube with intermittent suction ,
intravenous administration of antibiotic (ceftriaxone 2gm IV OD metronidazole 500 mg. IV every 8 hrs) and omeprazole 40 mg. IV every 12 hrs
Experimental Procedure/Surgery
Selective conservative treatment
Sponsors
Surgical department. Songkhla hospital
Surgical department. Songkhla hospital
Eligibility
Sex/Gender
All
Age
15 Years to 80 Years
Inclusion criteria
Inclusion criteria: criterias for case selection are : 1.Free air is not broader than a 1 st lumbar vertebral column height7 2.No free fluid intraperitonium cavity by bedside ultrasound 3. ResuscitateFluid in 1st 24 hours not more than 5 ml/kg/hr 4.Hemodynamic stable
Exclusion criteria
Exclusion criteria: Patient who denie for conservative treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recover without operation 6 week follow up Observe and record | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of hospital stay Discharge time Record,Complications fever/pleural effusion/wound infection During admission Record | — |
Contacts
Public ContactPongsatorn Asanasak
Songkhla Hospital
Outcome results
None listed