Intensive Care Medicine

, Volume 20, Issue 8, pp 588–590

Intra-abdominal pressure measurement using a modified nasogastric tube: Description and validation of a new technique

  • M. Sugrue
  • M. D. Buist
  • A. Lee
  • D. J. Sanchez
  • K. M. Hillman
Brief Reports

Abstract

Objective

This study assessed the accuracy of an intragastric method of measuring intra-abdominal pressure (IAP).

Design

Prospective sequential study with simultaneous paired measurement of gastric and urinary bladder pressures.

Setting

Operating theatre, University Teaching Hospital.Patients: 9 patients undergoing laparoscopic cholecystectomy were studied.

Interventions

Intraperitoneal pressures were monitored during peritoneal insufflation at laparoscopy up to a pressure of 20 mmHg.

Measurements and results

Intra-abdominal pressure measurements were recorded simultaneously using a gastric balloon and urinary catheter. Gastric pressure may be up to 4 mmHg higher or 3 mmHg lower than urinary bladder pressure.

Conclusions

Intra-abdominal pressure can be measured easily in this new fashion, allowing a continuous pressure trend to be obtained without interfering with urinary output estimation.

Key words

Intra-abdominal pressure measurement Gastric tonometry Laparoscopy 

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • M. Sugrue
    • 1
  • M. D. Buist
    • 2
  • A. Lee
    • 2
  • D. J. Sanchez
    • 2
  • K. M. Hillman
    • 2
  1. 1.Department of SurgeryLiverpool HospitalSydneyAustralia
  2. 2.Department of Intensive CareLiverpool HospitalSydneyAustralia

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