Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Surgery
Published in: BMC Surgery 1/2009

Open Access 01-12-2009 | Research article

Direct intra-abdominal pressure monitoring via piezoresistive pressure measurement: a technical note

Authors: Jens Otto, Daniel Kaemmer, Marcel Binnebösel, Marc Jansen, Rolf Dembinski, Volker Schumpelick, Alexander Schachtrupp

Published in: BMC Surgery | Issue 1/2009

Login to get access

Abstract

Background

Piezoresistive pressure measurement technique (PRM) has previously been applied for direct IAP measurement in a porcine model using two different devices. Aim of this clinical study was to assess both devices regarding complications, reliability and agreement with IVP in patients undergoing elective abdominal surgery.

Methods

A prospective cohort study was performed in 20 patients randomly scheduled to receive PRM either by a Coach®-probe or an Accurate++®-probe (both MIPM, Mammendorf, Germany). Probes were placed on the greater omentum and passed through the abdominal wall paralleling routine drainages. PRM was compared with IVP measurement by t-testing and by calculating mean difference as well as limits of agreement (LA).

Results

There were no probe related complications. Due to technical limitations, data could be collected in 3/10 patients with Coach® and in 7/10 patients with Accurate++®. Analysis was carried out only for Accurate++®. Mean values did not differ to mean IVP values. Mean difference to IVP was 0.1 ± 2.8 mmHg (LA: -5.5 to 5.6 mmHg).

Conclusion

Direct IAP measurement was clinically uneventful. Although results of Accurate++® were comparable to IVP, the device might be too fragile for IAP measurements in the clinical setting. Local ethical committee trial registration: EK2024
Appendix
Available only for authorised users
Literature
1.
Ivatury RR: Abdominal compartment syndrome: a century later, isn't it time to accept and promulgate?. Crit Care Med. 2006, 34: 2494-2495. 10.1097/01.CCM.0000235680.83667.EE.CrossRefPubMed
2.
Malbrain ML, Chiumello D, Pelosi P, Wilmer A, Brienza N, Malcangi V, Bihari D, Innes R, Cohen J, Singer P: Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med. 2004, 30: 822-829. 10.1007/s00134-004-2169-9.CrossRefPubMed
3.
Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De WJ, Balogh Z, Leppaniemi A, Olvera C, Ivatury R: Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med. 2006, 32: 1722-1732. 10.1007/s00134-006-0349-5.CrossRefPubMed
4.
Kirkpatrick AW, Laupland KB, Karmali S, Bergeron E, Stewart TC, Findlay C, Parry N, Khetarpal S, Evans D: Spill your guts! Perceptions of Trauma Association of Canada member surgeons regarding the open abdomen and the abdominal compartment syndrome. J Trauma. 2006, 60: 279-286. 10.1097/01.ta.0000205638.26798.dc.CrossRefPubMed
5.
Mayberry JC, Goldman RK, Mullins RJ, Brand DM, Crass RA, Trunkey DD: Surveyed opinion of American trauma surgeons on the prevention of the abdominal compartment syndrome. J Trauma. 1999, 47: 509-513. 10.1097/00005373-199909000-00012.CrossRefPubMed
6.
Ravishankar N, Hunter J: Measurement of intra-abdominal pressure in intensive care units in the United Kingdom: a national postal questionnaire study. Br J Anaesth. 2005, 94: 763-766. 10.1093/bja/aei117.CrossRefPubMed
7.
De Waele JJ, De LI, De KB, Widder S, Kirkpatrick AW, Cresswell AB, Malbrain M, Bodnar Z, Mejia-Mantilla JH, Reis R, Parr M, Schulze R, Compano S, Cheatham M: The effect of different reference transducer positions on intra-abdominal pressure measurement: a multicenter analysis. Intensive Care Med. 2008, 34 (7): 1299-303. 10.1007/s00134-008-1098-4. Epub 2008 Apr 4CrossRefPubMed
8.
Pracca FF, Biestro AA, 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: 167-170. 10.1007/s10877-007-9071-2.CrossRefPubMed
9.
Schachtrupp A, Jansen M, Bertram P, Kuhlen R, Schumpelick V: [Abdominal compartment syndrome: significance, diagnosis and treatment]. Anaesthesist. 2006, 55: 660-667. 10.1007/s00101-006-1019-2.CrossRefPubMed
10.
Schachtrupp A, Tons C, Fackeldey V, Hoer J, Reinges M, Schumpelick V: Evaluation of two novel methods for the direct and continuous measurement of the intra-abdominal pressure in a porcine model. Intensive Care Med. 2003, 29: 1605-1608. 10.1007/s00134-003-1847-3.CrossRefPubMed
11.
De Waele JJ, Berrevoet F, Reyntjens K, Pletinckx P, De LI, Hoste E: Semicontinuous intra-abdominal pressure measurement using an intragastric Compliance catheter. Intensive Care Med. 2007, 33: 1297-1300. 10.1007/s00134-007-0682-3.CrossRefPubMed
12.
Fusco MA, Martin RS, Chang MC: Estimation of intra-abdominal pressure by bladder pressure measurement: validity and methodology. J Trauma. 2001, 50: 297-302. 10.1097/00005373-200102000-00016.CrossRefPubMed
13.
Malbrain ML: Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal. Intensive Care Med. 2004, 30: 357-371. 10.1007/s00134-003-2107-2.CrossRefPubMed
14.
Sugrue M, Buist MD, Lee A, Sanchez DJ, Hillman KM: Intra-abdominal pressure measurement using a modified nasogastric tube: description and validation of a new technique. Intensive Care Med. 1994, 20: 588-590. 10.1007/BF01705728.CrossRefPubMed
15.
Willy C, Gerngross H, Sterk J: Measurement of intracompartmental pressure with use of a new electronic transducer-tipped catheter system. J Bone Joint Surg Am. 1999, 81: 158-168.PubMed
16.
Bland JM, Altman DG: Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986, 1: 307-310.CrossRefPubMed
17.
Balogh Z, De Waele JJ, Malbrain ML: Continuous intra-abdominal pressure monitoring. Acta Clin Belg Suppl. 2007, 1: 26-32.CrossRef
18.
De Waele JJ, De LI, Malbrain ML: Rational intraabdominal pressure monitoring: how to do it?. Acta Clin Belg Suppl. 2007, 1: 16-25.CrossRef
19.
Brooks AJ, Simpson A, Delbridge M, Beckingham IJ, Girling KJ: Validation of direct intraabdominal pressure measurement using a continuous indwelling compartment pressure monitor. J Trauma. 2005, 58: 830-832. 10.1097/01.TA.0000141887.22660.24.CrossRefPubMed
20.
Davis PJ, Koottayi S, Taylor A, Butt WW: Comparison of indirect methods of measuring intra-abdominal pressure in children. Intensive Care Med. 2005, 31: 471-475. 10.1007/s00134-004-2539-3.CrossRefPubMed
21.
Suominen PK, Pakarinen MP, Rautiainen P, Mattila I, Sairanen H: Comparison of direct and intravesical measurement of intraabdominal pressure in children. J Pediatr Surg. 2006, 41: 1381-1385. 10.1016/j.jpedsurg.2006.04.030.CrossRefPubMed
22.
Meier C, Schramm R, Holstein JH, Seifert B, Trentz O, Menger MD: Measurement of compartment pressure of the rectus sheath during intra-abdominal hypertension in rats. Intensive Care Med. 2006, 32: 1644-1648. 10.1007/s00134-006-0366-4.CrossRefPubMed
23.
De WJ, Pletinckx P, Blot S, Hoste E: Saline volume in transvesical intra-abdominal pressure measurement: enough is enough. Intensive Care Med. 2006, 32: 455-459. 10.1007/s00134-005-0062-9.CrossRef
24.
Chiumello D, Tallarini F, Chierichetti M, Polli F, Li BG, Motta G, Azzari S, Carsenzola C, Gattinoni L: The effect of different volumes and temperatures of saline on the bladder pressure measurement in critically ill patients. Crit Care. 2007, 11: R82-10.1186/cc6080.CrossRefPubMedPubMedCentral
25.
Malbrain ML, Deeren DH: Effect of bladder volume on measured intravesical pressure: a prospective cohort study. Crit Care. 2006, 10: R98-10.1186/cc4962.CrossRefPubMedPubMedCentral
26.
Turnbull D, Webber S, Hamnegard CH, Mills GH: Intra-abdominal pressure measurement: validation of intragastric pressure as a measure of intra-abdominal pressure. Br J Anaesth. 2007, 98: 628-634. 10.1093/bja/aem060.CrossRefPubMed
27.
Kimball EJ, Mone MC, Wolfe TR, Baraghoshi GK, Alder SC: Reproducibility of bladder pressure measurements in critically ill patients. Intensive Care Med. 2007, 33: 1195-1198. 10.1007/s00134-007-0641-z.CrossRefPubMed
Metadata
Title
Direct intra-abdominal pressure monitoring via piezoresistive pressure measurement: a technical note
Authors
Jens Otto
Daniel Kaemmer
Marcel Binnebösel
Marc Jansen
Rolf Dembinski
Volker Schumpelick
Alexander Schachtrupp
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2009
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/1471-2482-9-5

Other articles of this Issue 1/2009

BMC Surgery 1/2009 Go to the issue

Case report

Management of gastro-bronchial fistula complicating a subtotal esophagectomy: a case report

Research article

Evolution of breast cancer management in Ireland: a decade of change

Research article

Internal sphincterotomy reduces postoperative pain after Milligan Morgan haemorrhoidectomy

Research article

APACHE III outcome prediction in patients admitted to the intensive care unit after liver transplantation: a retrospective cohort study

Commentary

Intraoperative angiography should be standard in cerebral aneurysm surgery

Research article

Current practice of abdominal wall closure in elective surgery – Is there any consensus?