Abstract
ABDOPRE is a device that reduces the abdominal pressure of intensive care patients with intraabdominal hypertension. The controlled reduction following a time protocol is consequence of the application of an external negative pressure inside a vacuum bell affixed to the patient’s abdomen. Originally developed in 2007, ABDOPRE was tested in four intensive care patients with intrabdominal pressures (12 to 15 mmHg). In three of these patients a reduction of 5 mmHg, 3 mmHg and 2 mmHg was accomplished. Afterwards, a new, cheaper, smaller and lighter version of ABDOPRE was developed using an ARDUINO UNO board for the control system and an ARUINO UNO SHIELD for the electrical interface. This version has an optimized Software and includes two bell sizes of 14 and 24 L respectively.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Malbrain, M., Cheatham, M., Kirkpatrick, A., et al.: Results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. Intensive Care Med. 32, 1722–1732 (2006)
Kirkpatrick, A., Roberts, D., Malbrain, M., et al.: Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome World Society of the Abdominal. Intensive Care Med. 39, 1190–1206 (2013)
Malbrain, M.: Is it wise not to think about intraabdominal hypertension in the ICU? Current Opinion in Critical Care 10, 132–145 (2004)
Groen, R., Malbrain, M., Peul, W., et al.: The significance of intra-abdominal pressure in neurosurgery and neurological diseases: a narrative review and a conceptual proposal. Acta Neurochir. 161, 1–10 (2019)
Pracca, F., Zoppolo, C., David, M., et al.: Negative pressure device for intra-abdominal pressure reduction. J. Phys. Conf. Ser. 90 (2007)
Fossali, T., Bottino, N., Guglielmi, M., et al.: Effects of continuous negative extra-abdominal pressure on cardiorespiratory function during abdominal hypertension: an experimental study. Intensive Care Med. 31, 105–111 (2004)
Valenza, F., Bottino, N., Canavesi, K., et al.: Intra-abdominal pressure may be decreased non-invasively by continuous negative extra-abdominal pressure (NEXAP). Intensive Care Med. 29, 2063–2067 (2003)
David, M., Pracca, F., Simini, F.: Non-invasive negative pressure system to treat abdominal hypertension. In: IFMBE Proceedings, vol. 37, pp. 211–214 (2011)
David, M., Sánchez, G., Zoppolo, C.: ABDOPRE Sistema de aplicación y control de presión negativa sobre el abdomen para la reducción de la presión intrabdominal. Thesis, Universidad de la república, Montevideo, Uruguay (2007)
Micro Chip: 20-Pin Flash-Based, 8-bit CMOS Microcontrollers, PIC16F687 datasheet (2004)
Honeywell: Board Mount Pressure Sensors 7 V-16 V 5.0psi Differ Transducer, 143PC03D datasheet (2006)
Cole Parmer: Miniature OEM Vacuum/Pressure Pumps, cz-79600-02 datasheet (2004)
Pracca, F., Biestro, A., Gorrassi, J., et al.: ABDOPRE: dispositivo de aplicação externa para redução da pressão intra-abdominal: Experiencia clínica preliminar. Revista Brasileira de Terapia Intensiva 23, 238–241 (2011)
Urruty, L., Simini, F., Pereyra, M., et al.: Non-invasive treatment of abdominal hypertension: a new vacuum chamber. In: 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Chicago, IL USA (2014)
Medco Health Care: Argon DTX PlusTM Disposable Pressure Transducer Sets, Argon DTXPlus TNF-R datasheet (2013)
ARDUINO Homepage. https://www.arduino.cc/. Accessed 11 Jun 2019
Extech: Differential Pressure Manometers, Extech HD750 datasheet (2008)
Blaser, A.R., Regli, A., De Keulenaer, B., et al.: Incidence, risk factors, and outcomes of intra-abdominal hypertension in critically III patients-a prospective multicenter study (IROI study). Crit. Care Med. 47, 535–542 (2019)
Acknowledgments
The authors acknowledge the work done for the initial development by Marcelo David, Cedric Zoppolo and Guillermo Sánchez, as well as continuing support by Professor Alberto Biestro, Head of the Department of Intensive Medicine. Subsequent work was done by María José González Franco and Martín Arregui. Special thanks are also expressed to Luciana Urruty, Sylvia Díaz and Florencia Peirano for research and craftsmanship of ABDOPRE bells. This paper was checked for correct language format by Valerie Best, educated at the British Schools, Montevideo, Uruguay. The authors are deeply grateful for her advice.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Ethics declarations
The authors declare that they have no conflict of interest with respect to the biomedical instrumentation research described in this paper.
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this paper
Cite this paper
Schandy, A., Pracca, F., Simini, F. (2020). Treatment of Abdominal Hypertension: Development of an Original Non-invasive Device ABDOPRE. In: González Díaz, C., et al. VIII Latin American Conference on Biomedical Engineering and XLII National Conference on Biomedical Engineering. CLAIB 2019. IFMBE Proceedings, vol 75. Springer, Cham. https://doi.org/10.1007/978-3-030-30648-9_74
Download citation
DOI: https://doi.org/10.1007/978-3-030-30648-9_74
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-30647-2
Online ISBN: 978-3-030-30648-9
eBook Packages: EngineeringEngineering (R0)