Document Detail


Measurement of intra-abdominal pressure in term pregnancy: a pilot study.
MedLine Citation:
PMID:  22326198     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: This study was conducted to assess the feasibility of measuring intra-abdominal pressure in term parturients under spinal anesthesia. METHODS: Intra-abdominal pressure was measured in 20 term parturients after spinal anesthesia for elective caesarean section. Pressure was measured in the supine and 10° left lateral tilt positions with a constant reference point throughout. RESULTS: Intra-abdominal pressure measurement was feasible and safe to perform. Pressure was significantly lower in the left lateral tilt position than supine (10.9mmHg±4.67 vs. 8.9mmHg±4.87, P=0.0004). The range of intra-abdominal pressure in pregnancy was wide, from 2 to 20mmHg, with >25% of patients resting with pressures above 12mmHg in both positions. CONCLUSIONS: Under spinal anesthesia, intra-abdominal pressure in >25% of healthy term parturients was > 12mmHg, which has conventionally been defined as intra-abdominal hypertension. The intra-abdominal pressure in term pregnancy should be performed in the left lateral tilt position to avoid falsely elevated pressure measurements.
Authors:
R Chun; L Baghirzada; C Tiruta; A W Kirkpatrick
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-10
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  -     ISSN:  1532-3374     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Anesthesia.
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