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2013, Number 2

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Cir Cir 2013; 81 (2)

New device and technique to measure intra-abdominal pressure

Castañón-González JA, Satué-Rodríguez J, Carrillo RF, Polanco-González C, Miranda-Ruíz R, Camacho-Juárez S

Language: Spanish
References: 16
Page: 112-117
PDF size: 1029.15 Kb.


ABSTRACT

Introduction: secuential measurement of intra-abdominal pressure are of paramount importance for an early detection and appropriate therapeutic management of intra-abdominal hypertension and abdominal compartment syndrome. Objective: to validate a device and technique developed to measure intra-abdominal pressure (an innovation of the Foley urinary catheter named intra-abdominal pressure catheter).
Methods: three different sets of measurements where done to test the intra-abdominal pressure catheter device I. 50 measurements where done with the intra-abdominal pressure catheter device and compared against those measurements done using a manometer graded in cm H2O. II. Direct measurement of intra-abdominal pressure in five patients during elective laparoscopy vs the intraabdominal pressure catheter device and III. Measurement of intra-abdominal pressure by the Kron method (Gold standard) vs intra-abdominal pressure catheter device in three patents with intra-abdominal hypertension/abdominal compartment syndrome. Measurements where compared with Pearson correlation test and Bland Altman statistics.
Results: I. Intra-abdominal pressure catheter vs graded manometer: r = 0.99, with a mean pressure difference of 0.27 ± 0.23 mmHg, CI (0.039 to 0.092 mmHg). II. Direct measurement of intra-abdominal pressure during laparoscopy vs intra-abdominal pressure catheter device: r = 0.93, with a mean pressure difference of 0.18 ± 0.84 mmHg, CI (-1.46 to 1.83 mmHg) and III. Measurement of intra-abdominal pressure by the Kron Method vs intra-abdominal pressure catheter device: r = 0.81, with a mean pressure difference of -0.41 ± 0.87, CI (-2.12 mmHg to 1.30 mmHg).
Conclusions: the intra-abdominal pressure catheter device is a safe and reliable instrument to measure intra-abdominal pressure.


REFERENCES

  1. De Waele J, Desender L, De Laet I, Ceelen W, Pattyn P, Hoste E. Abdominal decompression for abdominal compartment syndrome in critically ill patients: a retrospective study. Acta Clin Belg 2010;65(6):399-403.

  2. Malbrain MLNG, De laet IE, De Waele JJ. IAH/ACS: The Rationale for Surveillance. World J Surg 2009;33(6):1110-1115.

  3. Sugrue M, Buhkari Y. Intra-Abdominal Pressure and Abdominal Compartment Syndrome in Acute General Surgery. World J Surg 2009;33(6):1123-1127.

  4. Verzilli D, Constantin JM, Sebbane M, Chanques G, Jung B, Perrigault PF, et al. Positive end-expiratory pressure affects the value of intra-abdominal pressure in acute lung injury/acute respiratory distress syndrome patients: a pilot study. Crit Care 2010;14:R137.

  5. Raeburn CD, Moore EE, Biffl WL, Johnson JL, Meldrum DR, Offner PJ, et al. The abdominal compartment syndrome is a morbid complication of postinjury damage control surgery. Am J Surg 2001;182(6):542-546.

  6. Chen H, Li F, Sun JB, Jia JG. Abdominal compartment syndrome in patients with severe acute pancreatitis in early stage. World J Gastroenterol 2008;14(22):3541-3548.

  7. Daugherty EL, Hongyan L, Taichman D, Hansen-Flaschen J, Fuchs BD. Abdominal Compartment Syndrome Is Common in Medical Intensive Care Unit Patients Receiving Large-Volume Resuscitation. J Intensive Care Med 2007;22(5):294-299.

  8. Regueira T, Bruhn A, Hasbun P, Aguirre M, Romero C, Llanos O, et al. Intra-abdominal hypertension: Incidence and association with organ dysfunction during early septic shock. J Crit Care 2008;23(4):461-467.

  9. Malbrain MLNG, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med 2006;32(11):1722-1732.

  10. Cheatham ML, Malbrain MLNG, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations. Intensive Care Med 2007;33(6):951-962.

  11. Mailbrain MLNG. Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal. Intensive Care Med 2004;30(3):357-371.

  12. Kron IL, Harpman PK, Nolan SP. The measurement of intraabdominal pressure as a criterion of abdominal reexploration. Ann Surg 1984;199(1):28-30.

  13. Foley FE. A hemostatic bag catheter: one piece latex rubber structure for control of bleeding and constant drainage following prostatic resection. J Urol 1937;38:134-139.

  14. Collee GG, Lomax DM, Ferguson C, Hanson GC. Bedside measurement of intra-abdominal pressure (IAP) via an indwelling naso-gastric tube: Clinical validation of the technique. Intensive Care Med 1993;19(8):478-480.

  15. World Society of The Abdominal Compartment Syndrome. WSACS Recommendations for research. URL (consultado 5 de abril de 2012) Disponible en http://www.wsacs.org/research_recommendations.php

  16. Kaplan LJ, Shaw AD. Standards for Education and Credentialing in Critical Care Medicine. JAMA 2011;305(3):296-297.




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