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Intensive Care Medicine
Erschienen in: Intensive Care Medicine 11/2005

01.11.2005 | Brief Report

Correlation between intra-abdominal and intracranial pressure in nontraumatic brain injury

verfasst von: Dries H. Deeren, Hilde Dits, Manu L. N. G. Malbrain

Erschienen in: Intensive Care Medicine | Ausgabe 11/2005

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Abstract

Objective

To examine on the basis of a large number of measurements whether increased IAP is associated with increased ICP and decreased CPP in ventilated patients with nontraumatic brain injury.

Design and setting

Observational clinical study in the medical and surgical intensive care unit of a tertiary teaching hospital.

Patients

We included 11 patients with nontraumatic brain injury who had an ICP and an IAP-monitoring device because of ischemic (n=4), hemorrhagic (n=5), and metabolic (n=2) encephalopathy.

Methods

IAP was continuously measured in the stomach, and ICP was continuously measured through an intraventricular catheter; 214 consecutive measurements were compared. Because of repeated measurements in the patients we used analysis of covariance to control for the variation in ICP and CPP between patients.

Measurements and results

Patients’ mean IAP was 3.8–11.8 mmHg, ICP 6.7–15 mmHg, and CPP 70.8–123 mmHg. For ICP the regression coefficient associated with IAP was 0.64±0.05 (95% CI 0.56–0.73, partial correlation 0.70) and for CPP −1.36±0.3 (95% CI −1.94 to −0.78; partial correlation −0.30).

Conclusions

Increases in IAP are associated with increases in ICP and decreases in CPP in ventilated patients with nontraumatic brain injury, even at low levels of IAP.
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Metadaten
Titel
Correlation between intra-abdominal and intracranial pressure in nontraumatic brain injury
verfasst von
Dries H. Deeren
Hilde Dits
Manu L. N. G. Malbrain
Publikationsdatum
01.11.2005
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 11/2005
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-005-2802-2

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