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Validation of continuous intraabdominal pressure measurement: feasibility and accuracy assessment using a capsular device in in-vivo studies.
Ho, Dong-Ru; Cheng, Chi-Tung; Ouyang, Chun-Hsiang; Lin, Wei-Cheng; Liao, Chien-Hung.
Afiliación
  • Ho DR; Department of Urology, Chang Gung Memorial Hospita ChiaYi, 8, west section of Jiapu Road, Puzi, Chiayi, Taiwan.
  • Cheng CT; School of Medicine, National Tsing Hua University, Hsinchu, Taiwan.
  • Ouyang CH; Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital Linkou, Chang Gung University, Taoyuan, Taiwan.
  • Lin WC; Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital Linkou, Chang Gung University, Taoyuan, Taiwan.
  • Liao CH; Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital Linkou, Chang Gung University, Taoyuan, Taiwan.
World J Emerg Surg ; 19(1): 25, 2024 Jun 26.
Article en En | MEDLINE | ID: mdl-38926694
ABSTRACT

BACKGROUND:

Monitoring Intraabdominal Pressure (IAP) is essential in critical care, as elevated IAP can lead to severe complications, including Abdominal Compartment Syndrome (ACS). Advances in technology, such as digital capsules, have opened new avenues for measuring IAP non-invasively. This study assesses the feasibility and effectiveness of using a capsular device for IAP measurement in an animal model.

METHOD:

In our controlled experiment, we anesthetized pigs and simulated elevated IAP conditions by infusing CO2 into the peritoneal cavity. We compared IAP measurements obtained from three different

methods:

an intravesical catheter (IAPivp), a capsular device (IAPdot), and a direct peritoneal catheter (IAPdir). The data from these methods were analyzed to evaluate agreement and accuracy.

RESULTS:

The capsular sensor (IAPdot) provided continuous and accurate detection of IAP over 144 h, with a total of 53,065,487 measurement triplets recorded. The correlation coefficient (R²) between IAPdot and IAPdir was excellent at 0.9241, demonstrating high agreement. Similarly, IAPivp and IAPdir showed strong correlation with an R² of 0.9168.

CONCLUSION:

The use of capsular sensors for continuous and accurate assessment of IAP marks a significant advancement in the field of critical care monitoring. The high correlation between measurements from different locations and methods underscores the potential of capsular devices to transform clinical practices by providing reliable, non-invasive IAP monitoring.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad / Hipertensión Intraabdominal Límite: Animals Idioma: En Revista: World J Emerg Surg Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad / Hipertensión Intraabdominal Límite: Animals Idioma: En Revista: World J Emerg Surg Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Reino Unido