DETERMINATION OF INTRA-ABDOMINAL PRESSURE USING A TRANS-URETHRAL BLADDER CATHETER - CLINICAL VALIDATION OF THE TECHNIQUE
DETERMINATION OF INTRA-ABDOMINAL PRESSURE USING A TRANS-URETHRAL BLADDER CATHETER - CLINICAL VALIDATION OF THE TECHNIQUE
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DOI：
10.1097/00000542-198901000-00011
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发表时间：
1989-01-01
期刊：
影响因子：
8.8
通讯作者：
BENJAMIN, E
中科院分区：
文献类型：
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作者：
IBERTI, TJ;LIEBER, CE;BENJAMIN, E
腹内压 (IAP) 的测定在许多临床情况下可能有用。作者最近在犬模型中证明了实际 IAP 与从经尿道导管获得的膀胱压力测量值之间存在密切相关性。本研究的目的是临床验证该技术。作者研究了 16 名患者，并利用直接腹膜内压力监测和经尿道膀胱导管获得的压力，比较了三种体位（仰卧、按压和半直立）的 IAP。他们的结果表明，所描述的两种方法之间存在线性关系，仰卧位和半直立位的平均 r 值为 0.95，腹部按压时的平均 r 值为 0.99（P < 0.0001）。作者得出结论，经尿道膀胱压力监测为床边评估 IAP 提供了一种安全、简单且高度准确的方法。评估其在手术室和重症监护室中使用的适应症的研究似乎是有必要的。
The determination of intra-abdominal pressures (IAP) may be useful in many clinical situations. The authors recently demonstrated in the canine model a close correlation between actual IAP and the bladder pressure measurements obtained from a transurethral catheter. The purpose of this study was to clinically validate this technique. The authors studied 16 patients, and compared IAP in three positions (supine, with compressions, and semi-erect) utilizing both direct intraperitoneal pressure monitoring and the pressure obtained with a transurethral bladder catheter. Their results demonstrated a linear relationship between the two methods described, with a mean r value of 0.95 in the supine and semi-erect positions, and 0.99 with abdominal compressions (P < 0.0001). The authors conclude that transurethral monitoring of bladder pressure offers a safe, simple, and highly accurate method for evaluating IAP at the bedside. Studies evaluating the indication for its use in the operating room and intensive care settings appear warranted.