Comparison of Intra-Abdominal Pressure Measurements in Critically Ill Patients Using Intravesical Normal Saline at 15°C, 25°C, and 35°C
| Autor: | Jian-feng Zou, Zhicheng Zhang, Lili Zheng, Dawei Li, Weizheng Shuai, Qi Li, Qian Wang |
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| Rok vydání: | 2021 |
| Předmět: |
Male
China R software Critical Care Abdominal compartment syndrome Critical Illness medicine.medical_treatment Urinary Bladder Compartment Syndromes Body Temperature Muscular Diseases Dynamic monitoring Clinical Research Intensive care Humans Medicine Saline Intra abdominal pressure Aged business.industry Critically ill Temperature General Medicine medicine.disease IAP measurement Anesthesia Female Saline Solution Intra-Abdominal Hypertension business |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| ISSN: | 1643-3750 |
| DOI: | 10.12659/msm.932804 |
| Popis: | Background The incidence of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in intensive care units is high. Dynamic monitoring of intra-abdominal pressure (IAP) is important to treat patients with these conditions. The World Society of Abdominal Compartment Syndrome revised IAP measurement and treatment guidelines in 2013. IAP is measured by instilling ≤25 mL of sterile saline into the bladder, but there is no requirement for the saline to be at a specific temperature. Many doctors presume that using cold saline will trigger bladder muscle spasms, resulting in measurement error. In the present study, we investigated the effect of body-temperature saline on IAP measurements. Material/Methods A single-center study was conducted in 12 patients with IAH over a 2-year period. IAP was measured via the bladder with instillation of sterile saline at temperatures of 35°C, 25°C, and 15°C. We analyzed the data using R software, version 4.1.0. Paired t tests were used for comparisons between groups. A Spearman rank correlation analysis was performed to compare groups. Analysis results were plotted using the R packages ggplot2, ggpubr, and BlandAltmanLeh. P25°C is associated with accurate results. Using saline at |
| Databáze: | OpenAIRE |
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