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BMC Anesthesiology

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Open Access 01-12-2018 | Research article

Is intra-bladder pressure measurement a reliable indicator for raised intra-abdominal pressure? A prospective comparative study

Authors: Abdulla Ahmed Al-Abassi, Azan Saleh Al Saadi, Faisal Ahmed

Published in: BMC Anesthesiology | Issue 1/2018

Abstract

Background

Intra-abdominal pressure (IAP) can be measured by several indirect methods; however, the urinary bladder is largely preferred. The aim of this study was to compare intra-bladder pressure (IBP) at different levels of IAPs and assess its reliability as an indirect method for IAP measurement.

Methods

We compared IBP with IAP in twenty-one patients undergoing laparoscopic cholecystectomy under general anesthesia. Measurements were recorded at increasing levels of insufflation pressures to approximately 22 mmHg. Pearson’s correlation coefficient was calculated to establish the relationship between the two pressure measurements and Bland-Altman analysis was used to assess the limits of agreement between the two methods of measurements.

Results

The urinary bladder pressures reflected well the pressures in the abdominal cavity. Pearson correlation coefficient showed a good correlation between the two measurement techniques (r = 0.966, p < 0.0001) and Bland-Altman analysis indicated that the 95% limits of agreement between the two methods ranged from − 2.83 to 2.64. This range is accepted both clinically and according to the recommendations of the World Society of Abdominal Compartment Syndrome (WSACS).

Conclusion

Our study showed that IBP measurement is a simple, minimally invasive method that may reliably estimates IAP in patients placed in supine position. Measurements for pressures higher than 12 mmHg may be less reliable. When applied clinically, this should alert the clinician to take safety measures to avoid abdominal compartment syndrome (ACS).

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Title: Is intra-bladder pressure measurement a reliable indicator for raised intra-abdominal pressure? A prospective comparative study
Authors: Abdulla Ahmed Al-Abassi
Azan Saleh Al Saadi
Faisal Ahmed
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Anesthesiology / Issue 1/2018
Electronic ISSN: 1471-2253
DOI: https://doi.org/10.1186/s12871-018-0539-z

At a glance: The STEP trials

Springer Medicine

Is intra-bladder pressure measurement a reliable indicator for raised intra-abdominal pressure? A prospective comparative study

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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