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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.
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