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Intensive Care Medicine

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01.05.2009 | Physiological and Technical Notes

Comparison of a new device for the continuous intra-gastric measurement of intra-abdominal pressure (CiMon) with direct intra-peritoneal measurements in cirrhotic patients during paracentesis

verfasst von: Valentin Becker, Roland M. Schmid, Andreas Umgelter

Erschienen in: Intensive Care Medicine | Ausgabe 5/2009

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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 measurments of IAP using the CiMon device were not reliable enough to be clinically useful in these ascitic patients.

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Titel: Comparison of a new device for the continuous intra-gastric measurement of intra-abdominal pressure (CiMon) with direct intra-peritoneal measurements in cirrhotic patients during paracentesis
verfasst von: Valentin Becker
Roland M. Schmid
Andreas Umgelter
Publikationsdatum: 01.05.2009
Verlag: Springer-Verlag
Erschienen in: Intensive Care Medicine / Ausgabe 5/2009
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-009-1451-2

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Springer Medizin

Comparison of a new device for the continuous intra-gastric measurement of intra-abdominal pressure (CiMon) with direct intra-peritoneal measurements in cirrhotic patients during paracentesis

Abstract

Objective

Design and setting

Patients

Intervention

Measurements and results

Conclusion

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Update AINS

Springer Medizin

Abstract

Objective

Design and setting

Patients

Intervention

Measurements and results

Conclusion

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