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001-es BibID:	BIBFORM054615
035-os BibID:	PMID: 21739341
Első szerző:	De Keulenaer, Bart L.
Cím:	Does femoral venous pressure measurement correlate well with intrabladder pressure measurement? : a multicenter observational trial / Bart L. De Keulenaer, Adrian Regli, Wojciech Dabrowski, Vaxtang Kaloiani, Zsolt Bodnar, Javier Izura Cea, A. Andrey Litvin, Wendy A. Davis, Anne-Marie Palermo, Jan J. De Waele, Manu L. L. N. G. Malbrain
Dátum:	2011
ISSN:	0342-4642
Megjegyzések:	PURPOSE: To investigate if femoral venous pressure (FVP) measurement can be used as a surrogate measure for intra-abdominal pressure (IAP) via the bladder. METHODS: This was a prospective, multicenter observational study. IAP and FVP were simultaneously measured in 149 patients. The effect of BMI on IAP was investigated. RESULTS: The incidences of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) were 58 and 7% respectively. The mean APACHE II score was 22 ± 10, SAPS 2 score 42 ± 20, and SOFA score 9 ± 4. The mean IAP was 11.2 ± 4.5 mmHg versus 12.7 ± 4.7 mmHg for FVP. The bias and precision for all measurements were -1.5 and 3.6 mmHg respectively with the lower and upper limits of agreement being -8.6 and 5.7. When IAP was above 20 mmHg, the bias between IAP and FVP was 0.7 with a precision of 2.0 mmHg (lower and upper limits of agreement -3 and 4.6 respectively). Excluding those with ACS, according to the receiver operating curve analysis FVP = 11.5 mmHg predicted IAH with a sensitivity and specificity of 84.8 and 67.0% (AUC of 0.83 (95% CI 0.81-0.86) with P < 0.001). FVP = 14.5 mmHg predicted IAP above 20 mmHg with a sensitivity of 91.3% and specificity of 68.1% (AUC 0.85 (95% CI 0.79-0.91), P < 0.001). Finally, at study entry, the mean IAP in patients with a BMI less then 30 kg/m(2) was 10.6 ± 4.0 mmHg versus 13.8 ± 3.8 mmHg in patients with a BMI >= 30 kg/m(2) (P < 0.001). CONCLUSIONS: FVP cannot be used as a surrogate measure of IAP unless IAP is above 20 mmHg.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban hasüregi nyomás hasüregi nyomásmérés húgyhólyag nyomásának mérése centrális vénás nyomás
Megjelenés:	Intensive Care Medicine. - 37 : 10 (2011), p. 1620-1627. -
További szerzők:	Regli, Adrian Dabrowski, Wojciech Kaloiani, Vaxtang Bodnár Zsolt (1976-) (sebész) Cea, Javier Izura Litvin, A. Andrey Davis, Wendy A. Palermo, Anne-Marie De Waele, Jan J. Malbrain, Manu L. L. N. G.
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM054617
035-os BibID:	PMID: 18389215
Első szerző:	De Waele, Jan J.
Cím:	The effect of different reference transducer positions on intra-abdominal pressure measurement : a multicenter analysis / Jan J. De Waele, Inneke De laet, Bart De Keulenaer, Sandy Widder, Andrew W. Kirkpatrick, Adrian B. Cresswell, Manu Malbrain, Zsolt Bodnar, Jorge H. Mejia-Mantilla, Richard Reis, Michael Parr, Robert Schulze, Sonia Compano, Michael Cheatham
Dátum:	2008
ISSN:	0342-4642
Megjegyzések:	OBJECTIVE: To investigate the effect of different reference transducer positions on intra-abdominal pressure (IAP) measurement. Three reference levels were studied: the symphysis pubis; the phlebostatic axis; and the midaxillary line at the level of the iliac crest. DESIGN: Prospective cohort study. SETTING: The intensive care units of participating hospitals PATIENTS AND PARTICIPANTS: One hundred thirty-two critically ill patients at risk for intra-abdominal hypertension (IAH). INTERVENTIONS: In each patient, three sets of IAP measurements were obtained in the supine position, using the different reference levels. The IAP measurements obtained at the different reference levels were compared using a paired t-test and Bland-Altman statistics were calculated. MEASUREMENTS AND RESULTS: IAP(phlebostatic) (9.9 +/- 4.67 mmHg) and IAP(pubis) (8.4 +/- 4.60 mmHg) were significantly lower that IAP(midax) (12.2 +/- 4.66 mmHg; p < 0.0001 for both comparisons). The bias between the IAP(midax) and IAP(pubis) was 3.8 mmHg (95% CI 3.5-4.1) and 2.3 mmHg (95% CI 1.9-2.6) between the IAP(midax) and the IAP(phlebostatic). The precision was 3.03 and 3.40, respectively. CONCLUSIONS: In the supine position, IAP(midax) is higher than both IAP(phlebostatic) and IAP(pubis), differences found to be clinically significant; therefore, the symphysis pubis or phlebostatic axis reference lines are not interchangeable with the midaxillary level.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Intensive Care Medicine. - 34 : 7 (2008), p. 1299-1303. -
További szerzők:	De Laet, Inneke De Keulenaer, Bart L. Widder, Sandy Kirkpatrick, Andrew W. Cresswell, Adrian B. Malbrain, Manu L. L. N. G. Bodnár Zsolt (1976-) (sebész) Mejia-Mantilla, Jorge H. Reis, Richard Parr, Michael Schulze, Robert Compano, Sonia Cheatham, Michael L.
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