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使用胃顺应性导管进行半连续腹腔内压力测量。

Semicontinuous intra-abdominal pressure measurement using an intragastric Compliance catheter.

作者信息

De Waele Jan J, Berrevoet F, Reyntjens K, Pletinckx P, De Laet I, Hoste E

机构信息

Intensive Care Unit, Ghent University Hospital, De Pintelaan 185, 9000, Gent, Belgium.

Department of Anesthesiology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.

出版信息

Intensive Care Med. 2007 Jul;33(7):1297-1300. doi: 10.1007/s00134-007-0682-3. Epub 2007 May 24.

Abstract

OBJECTIVE

To compare intra-abdominal pressure (IAP) measurements obtained from an intragastric Compliance catheter with the pressure measured directly in the abdominal cavity.

DESIGN AND SETTING

Prospective cohort study in an operating room of the Ghent University Hospital

PATIENTS

Seven patients undergoing elective laparoscopic cholecystectomy.

INTERVENTIONS

IAP was obtained from both an intragastric catheter and directly from the peritoneal cavity at 1-minute intervals in patients undergoing elective cholecystectomy and compared using Bland-Altman analysis.

MEASUREMENTS AND RESULTS

In 156 paired measurements obtained from 7 patients the mean difference between IAPgastric and IAPref was 0.12+/-0.70 mmHg (95% CI 0.01-0.23).

CONCLUSIONS

IAP measured using an intragastric Compliance catheter reliably reflects the reference IAP in patients undergoing laparoscopic cholecystectomy.

摘要

目的

比较通过胃内顺应性导管获得的腹腔内压力(IAP)测量值与直接在腹腔内测量的压力。

设计与背景

在根特大学医院手术室进行的前瞻性队列研究

患者

7例接受择期腹腔镜胆囊切除术的患者。

干预措施

在接受择期胆囊切除术的患者中,每隔1分钟从胃内导管和直接从腹腔获得IAP,并使用Bland-Altman分析进行比较。

测量与结果

在从7例患者获得的156对测量值中,胃内IAP(IAPgastric)与参考IAP(IAPref)之间的平均差异为0.12±0.70 mmHg(95%可信区间0.01 - 0.23)。

结论

使用胃内顺应性导管测量的IAP能可靠地反映接受腹腔镜胆囊切除术患者的参考IAP。

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