Document Detail


Validation of direct intraabdominal pressure measurement using a continuous indwelling compartment pressure monitor.
MedLine Citation:
PMID:  15824663     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: According to recommendations, intraabdominal pressure should be monitored every 8 hours for patients at high risk of abdominal compartment syndrome. Continuous intraabdominal pressure monitoring may be valuable for these patients. METHODS: For 15 patients undergoing laparoscopic surgery, a pressure monitor was introduced after formation of pneumoperitoneum. During the procedure, the laparoscopic insufflator pressure was varied. The pressure monitor values and the time to equilibrium were recorded. RESULTS: Altogether, 152 pressure recordings were taken for the patients studied. The measurements from the insufflator and pressure monitor were compared using a Bland-Altman plot. The mean difference between the techniques was 0.04 +/- 3.8, and 95% of the points from the pressure monitor were within two standard deviations of the mean difference. Pressure changes were essentially "real time."CONCLUSIONS: The intracompartmental pressure monitor provides accurate, rapid, and direct measurement of intraabdominal pressure, and may be a useful tool for continuous intraabdominal pressure measurement among patients at risk of abdominal compartment syndrome.
Authors:
A J Brooks; A Simpson; M Delbridge; I J Beckingham; K J Girling
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Publication Detail:
Type:  Journal Article; Validation Studies    
Journal Detail:
Title:  The Journal of trauma     Volume:  58     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-12     Completed Date:  2005-05-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  830-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Queens Medical Centre, Nottingham, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Abdomen / physiopathology*
Compartment Syndromes / diagnosis*,  prevention & control
Humans
Laparoscopy
Monitoring, Physiologic / instrumentation,  methods*
Pressure

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