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Semicontinuous intra-abdominal pressure measurement using an intragastric Compliance catheter

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Abstract

Objective

To compare intra-abdominal pressure (IAP) measurements obtained from an intragastric Compliance catheter with the pressure measured directly in the abdominal cavity.

Design and setting

Prospective cohort study in an operating room of the Ghent University Hospital

Patients

Seven patients undergoing elective laparoscopic cholecystectomy.

Interventions

IAP was obtained from both an intragastric catheter and directly from the peritoneal cavity at 1-minute intervals in patients undergoing elective cholecystectomy and compared using Bland-Altman analysis.

Measurements and results

In 156 paired measurements obtained from 7 patients the mean difference between IAPgastric and IAPref was 0.12 ±  0.70 mmHg (95% CI 0.01–0.23).

Conclusions

IAP measured using an intragastric Compliance catheter reliably reflects the reference IAP in patients undergoing laparoscopic cholecystectomy.

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References

  1. Malbrain ML, Chiumello D, Pelosi P, Wilmer A, Brienza N, Malcangi V, Bihari D, Innes R, Cohen J, Singer P, Japiassu A, Kurtop E, De Keulenaer BL, Daelemans R, Del Turco M, Cosimini P, Ranieri M, Jacquet L, Laterre PF, Gattinoni L (2004) Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med 30:822–829

    Article  PubMed  Google Scholar 

  2. Malbrain ML (2004) Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal. Intensive Care Med 30:357–371

    Article  PubMed  Google Scholar 

  3. De Waele JJ, Billiet EA, Hoste E, Blot SI, Colardyn FA (2005) Fluid vs. air for semicontinuous intra-abdominal pressure measurements using a compliance catheter. Intensive Care Med 31:598–599

    Article  PubMed  Google Scholar 

  4. De Potter TJ, Dits H, Malbrain ML (2005) Intra- and interobserver variability during in vitro validation of two novel methods for intra-abdominal pressure monitoring. Intensive Care Med 31:747–751

    Article  PubMed  Google Scholar 

  5. Schachtrupp A, Tons C, Fackeldey V, Hoer J, Reinges M, Schumpelick V (2003) Evaluation of two novel methods for the direct and continuous measurement of the intra-abdominal pressure in a porcine model. Intensive Care Med 29:1605–1608

    Article  PubMed  Google Scholar 

  6. Brooks AJ, Simpson A, Delbridge M, Beckingham IJ, Girling KJ (2005) Validation of direct intraabdominal pressure measurement using a continuous indwelling compartment pressure monitor. J Trauma 58:830–832

    Article  CAS  PubMed  Google Scholar 

  7. Fusco MA, Martin RS, Chang MC (2001) Estimation of intra-abdominal pressure by bladder pressure measurement: validity and methodology. J Trauma 50:297–302

    Article  CAS  PubMed  Google Scholar 

  8. Sugrue M, Buist MD, Lee A, Sanchez DJ, Hillman KM (1994) Intra-abdominal pressure measurement using a modified nasogastric tube: description and validation of a new technique. Intensive Care Med 20:588–590

    Article  CAS  PubMed  Google Scholar 

  9. Johna S, Taylor E, Brown C, Zimmerman G (1999) Abdominal compartment syndrome: does intra-cystic pressure reflect actual intra-abdominal pressure? A prospective study in surgical patients. Crit Care (Lond) 3:135–138

    Article  CAS  Google Scholar 

  10. Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet I:307–410

    Article  Google Scholar 

  11. Balogh Z, Jones F, D'Amours S, Parr M, Sugrue M (2004) Continuous intra-abdominal pressure measurement technique. Am J Surg 188:679–684

    Article  PubMed  Google Scholar 

  12. Engum SA, Kogon B, Jensen E, Isch J, Balanoff C, Grosfeld JL (2002) Gastric tonometry and direct intraabdominal pressure monitoring in abdominal compartment syndrome. J Pediatr Surg 37:214–218

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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Authors

Corresponding author

Correspondence to Jan J. De Waele.

Additional information

J.J. De Waele is supported by a Clinical Doctoral Grant of the Fund for Scientific Research-Flanders (Belgium; F.W.O.-Vlaanderen).

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De Waele, J.J., Berrevoet, F., Reyntjens, K. et al. Semicontinuous intra-abdominal pressure measurement using an intragastric Compliance catheter . Intensive Care Med 33, 1297–1300 (2007). https://doi.org/10.1007/s00134-007-0682-3

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  • DOI: https://doi.org/10.1007/s00134-007-0682-3

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