Document Detail


Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal.
MedLine Citation:
PMID:  14730376     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The diagnosis of intra-abdominal hypertension (IAH) or abdominal compartment syndrome (ACS) is heavily dependent on the reproducibility of the intra-abdominal pressure (IAP) measurement technique. Recent studies have shown that a clinical estimation of IAP by abdominal girth or by examiner's feel of the tenseness of the abdomen is far from accurate, with a sensitivity of around 40%. Consequently, the IAP needs to be measured with a more accurate, reproducible and reliable tool. The role of the intra-vesical pressure (IVP) as the gold standard for IAP has become a matter of debate. This review will focus on the previously described indirect IAP measurement techniques and will suggest new revised methods of IVP measurement less prone to error. Cost-effective manometry screening techniques will be discussed, as well as some options for the future with microchip transducers.
Authors:
Manu L N G Malbrain
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Publication Detail:
Type:  Journal Article; Review     Date:  2004-01-17
Journal Detail:
Title:  Intensive care medicine     Volume:  30     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-03     Completed Date:  2004-04-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  357-71     Citation Subset:  IM    
Affiliation:
Medical Intensive Care Unit, ACZA Campus Stuivenberg, Lange Beeldekensstraat 267, B-2060 Antwerp, Belgium. manu.malbrain@skynet.be
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MeSH Terms
Descriptor/Qualifier:
Abdomen*
Compartment Syndromes / diagnosis*,  physiopathology
Diagnostic Techniques and Procedures / economics,  instrumentation
Humans
Pressure
Reproducibility of Results
Comments/Corrections
Comment In:
Intensive Care Med. 2004 Aug;30(8):1692; author reply 1693   [PMID:  15168013 ]
Intensive Care Med. 2005 Jul;31(7):1005   [PMID:  15940459 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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