Valentin Becker1, Roland M Schmid, Andreas Umgelter. 1. II. Medizinische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675 Munich, Germany.
Abstract
OBJECTIVE: To evaluate a new commercially available system for the intra-gastric measurement of intra-abdominal pressure (IAP). DESIGN AND SETTING: Prospective interventional trial in an intensive care unit of a university hospital. PATIENTS: Ten patients with cirrhosis and tense ascites scheduled for paracentesis and instrumented with a ballon-tipped nasogastric tube. INTERVENTION: Intermittent paracentesis with repeat paired measurements of IAP. MEASUREMENTS AND RESULTS: Intra-abdominal pressure was measured directly through the paracentesis catheter using a scaled measurement gauge. Simultaneously, intra-gastric measurements were performed with the CiMon device (Pulsion Medical Systems, Munich, Germany), by means of a ballon-tipped nasogastric tube connected to a pressure transducer. The range of IAP was 6.5-28 mmHg for direct measurements and 3.7-16 mmHg for measurements obtained with the CiMon device. The regression equation according to Passing and Bablok for the two methods had an intercept of 0.054 (95% CI-1.475-1.669) and a slope of 0.674 (95% CI 0.538-0.813). The cusum test showed a significant deviation from linearity (P < 0.05). In the Bland-Altman test bias and limits of agreement were - 4.9 (+/-6.8) mmHg or, expressed as percentage of the average, -44% (+/-49%). CONCLUSION: Intra-gastric measurements of IAP using the CiMon device were not reliable enough to be clinically useful in these ascitic patients.
OBJECTIVE: To evaluate a new commercially available system for the intra-gastric measurement of intra-abdominal pressure (IAP). DESIGN AND SETTING: Prospective interventional trial in an intensive care unit of a university hospital. PATIENTS: Ten patients with cirrhosis and tense ascites scheduled for paracentesis and instrumented with a ballon-tipped nasogastric tube. INTERVENTION: Intermittent paracentesis with repeat paired measurements of IAP. MEASUREMENTS AND RESULTS: Intra-abdominal pressure was measured directly through the paracentesis catheter using a scaled measurement gauge. Simultaneously, intra-gastric measurements were performed with the CiMon device (Pulsion Medical Systems, Munich, Germany), by means of a ballon-tipped nasogastric tube connected to a pressure transducer. The range of IAP was 6.5-28 mmHg for direct measurements and 3.7-16 mmHg for measurements obtained with the CiMon device. The regression equation according to Passing and Bablok for the two methods had an intercept of 0.054 (95% CI-1.475-1.669) and a slope of 0.674 (95% CI 0.538-0.813). The cusum test showed a significant deviation from linearity (P < 0.05). In the Bland-Altman test bias and limits of agreement were - 4.9 (+/-6.8) mmHg or, expressed as percentage of the average, -44% (+/-49%). CONCLUSION: Intra-gastric measurements of IAP using the CiMon device were not reliable enough to be clinically useful in these asciticpatients.
Authors: Manu L N G Malbrain; Michael L Cheatham; Andrew Kirkpatrick; Michael Sugrue; Michael Parr; Jan De Waele; Zsolt Balogh; Ari Leppäniemi; Claudia Olvera; Rao Ivatury; Scott D'Amours; Julia Wendon; Ken Hillman; Kenth Johansson; Karel Kolkman; Alexander Wilmer Journal: Intensive Care Med Date: 2006-09-12 Impact factor: 17.440
Authors: Manu L N G Malbrain; Davide Chiumello; Paolo Pelosi; David Bihari; Richard Innes; V Marco Ranieri; Monica Del Turco; Alexander Wilmer; Nicola Brienza; Vincenzo Malcangi; Jonathan Cohen; Andre Japiassu; Bart L De Keulenaer; Ronny Daelemans; Luc Jacquet; Pierre-François Laterre; Günther Frank; Paulo de Souza; Bruno Cesana; Luciano Gattinoni Journal: Crit Care Med Date: 2005-02 Impact factor: 7.598
Authors: Maria Gabriela Vidal; Javier Ruiz Weisser; Francisco Gonzalez; Maria America Toro; Cecilia Loudet; Carina Balasini; Hector Canales; Rosa Reina; Elisa Estenssoro Journal: Crit Care Med Date: 2008-06 Impact factor: 7.598
Authors: Manu L N G Malbrain; Davide Chiumello; Paolo Pelosi; Alexander Wilmer; Nicola Brienza; Vincenzo Malcangi; David Bihari; Richard Innes; Jonathan Cohen; Pierre Singer; Andre Japiassu; Elizabeth Kurtop; Bart L De Keulenaer; Ronny Daelemans; Monica Del Turco; P Cosimini; Marco Ranieri; Luc Jacquet; Pierre-François Laterre; Luciano Gattinoni Journal: Intensive Care Med Date: 2004-02-03 Impact factor: 17.440
Authors: Andreas Umgelter; Wolfgang Reindl; Katrin S Wagner; Michael Franzen; Konrad Stock; Roland M Schmid; Wolfgang Huber Journal: Crit Care Date: 2008-01-15 Impact factor: 9.097
Authors: Rinaldo Bellomo; Claudio Ronco; Ravindra L Mehta; Pierre Asfar; Julie Boisramé-Helms; Michael Darmon; Jean-Luc Diehl; Jacques Duranteau; Eric A J Hoste; Joannes-Boyau Olivier; Matthieu Legrand; Nicolas Lerolle; Manu L N G Malbrain; Johan Mårtensson; Heleen M Oudemans-van Straaten; Jean-Jacques Parienti; Didier Payen; Sophie Perinel; Esther Peters; Peter Pickkers; Eric Rondeau; Miet Schetz; Christophe Vinsonneau; Julia Wendon; Ling Zhang; Pierre-François Laterre Journal: Ann Intensive Care Date: 2017-05-04 Impact factor: 6.925