Top

Journal of Clinical Monitoring and Computing

Published in:

01-12-2020 | Brief Communication

Optimized electrical bioimpedance measurements of abdominal wall on a porcine model for the continuous non-invasive assessment of intra-abdominal pressure

Authors: Marcelo David, Omer Amran, Aviad Peretz, Aviad Raviv, Francisco Pracca

Published in: Journal of Clinical Monitoring and Computing | Issue 6/2020

Abstract

This work describes the optimization of electrical bioimpedance measurements for indirect intra-abdominal pressure (IAP) assessment. The experimental run was performed on a female Sus scrofa domesticus (domestic pig). Different values of IAP were induced by inflation of the abdominal cavity, using a trocar placed near the umbilicus over the linea alba. The whole experiment was run within 1 h of the subject being sacrificed. The abdominal wall thickness was measured at an IAP of 5 mmHg. An exponential trend linking between the bioimpedance values at 99.8 kHz and the IAP was found. Non-optimized electrode placement presented a strongly reduced sensitivity to IAP changes above 7 mmHg. Upon optimization and placing the electrodes with a separation of about 3.6 times the measured abdominal wall thickness, the sensitivity for high IAP drastically increased, allowing continuous non-invasive monitoring of IAP, confirming the optimization method proposed in this work.

De Waele JJ, De Laet I, Kirkpatrick AW, Hoste E. Intra-abdominal hypertension and abdominal compartment syndrome. Am J Kidney Dis. 2011;57(1):159–69.CrossRef

Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, Balogh Z, Leppäniemi A, Olvera C, Ivatury R, D’Amours S, Wendon J, Hillman K, Johansson K, Kolkman K, Wilmer A. results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. I. Definitions. Intensive Care Med. 2006;32(11):1722–32.CrossRef

Sugrue M, Bauman A, Jones F, Bishop G, Flabouris A, Parr M, Stewart A, Hillman K, Deane SA. Clinical examination is an inaccurate predictor of intraabdominal pressure. World J Surg. 2002;26(12):1428–31.CrossRef

Malbrain ML, Roberts DJ, De Laet I, De Waele JJ, Sugrue M, Schachtrupp A, Duchesne J, Van Ramshorst G, De Keulenaer B, Kirkpatrick AW, Ahmadi-Noorbakhsh S, Mulier J, Ivatury R, Pracca F, Wise R, Pelosi P. The role of abdominal compliance, the neglected parameter in critically ill patients - a consensus review of 16. Part 1: definitions and pathophysiology. Anaesthesiol Intensive Ther. 2014;46(5):392–405.CrossRef

Malbrain ML, De Laet I, De Waele JJ, Sugrue M, Schachtrupp A, Duchesne J, Van Ramshorst G, De Keulenaer B, Kirkpatrick AW, Ahmadi-Noorbakhsh S, Mulier J, Pelosi P, Ivatury R, Pracca F, David M, Roberts DJ. The role of abdominal compliance, the neglected parameter in critically ill patients - a consensus review of 16. Part 2: measurement techniques and management recommendations. Anaesthesiol Intensive Ther. 2014;46(5):406–32.CrossRef

David M, Pracca F, Simini F. Non-invasive negative pressure system to treat abdominal hypertension. In: Jobbágy Á (eds.). 5th European IFMBE Conference. 37. Budapest: Springer Science & Business Media 2011. p. 211–214.

David M, Geido D, Pracca F, Sánchez G, Simini F. Zoppolo C Negative pressure device for intraabdominal pressure reduction. J Phys. 2007;90 CS:012035.

Pracca F, Biestro A, Gorrassi J, David M, Simini F, Cancela M. ABDOPRE: an external device for the reduction of intra-abdominal pressure Preliminary clinical experience. Rev Bras Ter Intensiva. 2011;23:238–41.CrossRef

Pracca F, Biestro A, Moraes L, Puppo CB, Calvo SM, Gorrasi J, Cancela M. Direct measurement of intra-abdominal pressure with a solid microtranducer. J Clin Monit Comput. 2007;21(3):167–70.CrossRef

10.

Iberti TJ, Lieber CE, Benjamin E. Determination of Intra-Abdominal Pressure using a transurethral bladder catheter: clinical validation of the technique. Anesthesiology. 1989;70(1):47–50.CrossRef

11.

Cheatham ML, Safcsak K. Intraabdominal pressure: a revised method for measurement. J Am Coll Surg. 1998;186(5):594–5.CrossRef

12.

Cheatham ML, Malbrain ML, Kirkpatrick A, Sugrue M, Parr M, Dewaele J, et al. Results from the international conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. II. Recommendations. Intensive Care Med. 2006;33:951–62.CrossRef

13.

Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med. 2013;39(7):1190–206. https://doi.org/10.1007/s00134-013-2906-z.CrossRefPubMedPubMedCentral

14.

David M, Berkovich U, Pracca F. A numerical analysis towards the continuous non-invasive assessment of intra-abdominal pressure in critical patients based on bioimpedance and microwave reflectometry. In: 13th IEEE biomedical circuits and systems conference, 2017, pp. 21–24. https://doi.org/10.1109/biocas.2017.8325053.

15.

David M, Raviv A, Peretz A, Berkovich U, Pracca F. Towards a continuous non-invasive assessment of intra-abdominal pressure based on bioimpedance and microwave reflectometry: a pilot run on a porcine model. Biomed Signal Process Control. 2018;44:96–100.CrossRef

16.

Grevious MA, Cohen M, Shah SR, Rodriguez P. Structural and functional anatomy of the abdominal wall. Clin Plast Surg. 2006;33(2):169–79.CrossRef

17.

Caix P. Anatomy of the abdominal wall. [Article in French]. Ann Chir Plast Esthet. 1999;44(4):289–311.PubMed

18.

Ger R. The clinical anatomy of the anterolateral abdominal wall musculature. Clin Anat. 2009;22(3):392–7.CrossRef

19.

Quinn TH, Annibali R, Dalley AF II, Fitzgibbons RJ Jr. Dissection of the anterior abdominal wall and the deep inguinal region from a laparoscopic perspective. Clin Anat. 1995;8(4):245–51.CrossRef

20.

Simini F, Bertemes-Filho P. Bioimpedance in biomedical applications and research. 1st ed. New York: Springer; 2018.CrossRef

21.

Gabriel S, Lau RW, Gabriel C. The dielectric properties of biological tissues: II. Measurements in the frequency range 10 Hz to 20 GHz. Phys Med Biol. 1996;41(11):2251–69.CrossRef

22.

Gabriel C, Gabriel S. Compilation of the dielectric properties of body tissues at rf and microwave frequencies, internet document. 2016. http://www.dtic.mil/dtic/tr/fulltext/u2/a305826.pdf. Authorized mirror at http://niremf.ifac.cnr.it/docs/DIELECTRIC/home.html. Accessed Jan 2016.

23.

LH Deng, SH Karagiannoglou, WI Sakkas, JC Barbenel. Effect of geometrical factors of coplanar electrodes on biomedical measurements as exemplified by the electrical impedance measurement of saline and blood. In: Proceeding of the second joint EMBS/BMES conference, 2002, pp. 1667–1668.

24.

Clausen CH, Skands GE, Bertelsen CV, Svendsen WE. Coplanar electrode layout optimized for increased sensitivity for electrical impedance spectroscopy. Micromachines. 2015;6(1):110–20.CrossRef

25.

G Yang, H Long, H Tian, S Luo, H Huang. Bioimpedance measurement: modeling of coplanar electrodes and impedance characterization. In: 2008 2nd International Conference on bioinformatics and biomedical engineering, Shanghai, 2008, pp. 1248–1251.

Title: Optimized electrical bioimpedance measurements of abdominal wall on a porcine model for the continuous non-invasive assessment of intra-abdominal pressure
Authors: Marcelo David
Omer Amran
Aviad Peretz
Aviad Raviv
Francisco Pracca
Publication date: 01-12-2020
Publisher: Springer Netherlands
Published in: Journal of Clinical Monitoring and Computing / Issue 6/2020
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-019-00441-6

ACC 2024 Congress

Springer Medicine

Optimized electrical bioimpedance measurements of abdominal wall on a porcine model for the continuous non-invasive assessment of intra-abdominal pressure

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2020

Does it make difference to measure diaphragm function with M mode (MM) or B mode (BM)?

Shortening of the twitch stabilization period by tetanic stimulation in acceleromyography in infants, children and young adults (STSTS-Study): a prospective randomised, controlled trial

Estimation of respiratory rate using infrared video in an inpatient population: an observational study

Neuromuscular blockade at the orbicularis oculi muscle in a patient with myasthenia gravis

Performance of a capnodynamic method estimating cardiac output during respiratory failure - before and after lung recruitment

The Peripheral Perfusion Index tracks systemic haemodynamics during general anaesthesia