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Intensive Care Medicine
Published in: Intensive Care Medicine 10/2006

01-10-2006 | Technical Note

Measurement of compartment pressure of the rectus sheath during intra-abdominal hypertension in rats

Authors: Christoph Meier, René Schramm, Joerg H. Holstein, Burkhardt Seifert, Otmar Trentz, Michael D. Menger

Published in: Intensive Care Medicine | Issue 10/2006

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Abstract

Objective

To investigate whether the compartment pressure of the rectus sheath (CPRS) reflects the intra-abdominal pressure (IAP) under various conditions of intra-abdominal hypertension (IAH).

Design and setting

Prospective experimental study with in vivo pressure measurements at the Institute for Clinical and Experimental Surgery, University of Saarland.

Animals

Sprague-Dawley rats.

Interventions

Stepwise increase and decrease in IAP with continuous measurement of the correspondent CPRS.

Measurements and results

Physiological IAP (2 mmHg) and CPRS (6 mmHg) showed a statistically significant difference. Stepwise elevation in IAP was associated with a simultaneous increase in CPRS. Accordingly, stepwise decompression of IAP resulted in a stepwise decrease in CPRS. Under both conditions Bland-Altman analysis comparing IAP to correspondent CPRS showed a very good agreement for IAP at or above 12 mmHg. In addition, closure of the overlaying subcutaneous tissue and skin did not affect CPRS or its correlation with IAP.

Conclusions

CPRS accurately reflects IAP for IAP of 12 mmHg or higher. Thus CPRS measurements may represent a novel approach for diagnosis and monitoring of IAH.
Appendix
Available only for authorised users
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Metadata
Title
Measurement of compartment pressure of the rectus sheath during intra-abdominal hypertension in rats
Authors
Christoph Meier
René Schramm
Joerg H. Holstein
Burkhardt Seifert
Otmar Trentz
Michael D. Menger
Publication date
01-10-2006
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 10/2006
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-006-0366-4

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