Noninvasive monitoring of intra―abdminal pressure by measuring abdominal wall tension.docVIP

Noninvasive monitoring of intra―abdominal pressure by measuring abdominal wall tension 　　BACKGROUND： Noninvasive monitoring of intra-abdominal pressure （IAP） by measuring abdominal wall tension （AWT） was effective and feasible in previous postmortem and animal studies. This study aimed to investigate the feasibility of the AWT method for noninvasively monitoring IAP in the intensive care unit （ICU）. 中国论文网 /1/viewhtm　　METHODS： In this prospective study， we observed patients with detained urethral catheters in the ICU of Shanghai Tenth Peoples Hospital between April 2011 and March 2013. The correlation between AWT and urinary bladder pressure （UBP） was analyzed by linear regression analysis. The effects of respiratory and body position on AWT were evaluated using the paired samples t test， whereas the effects of gender and body mass index （BMI） on baseline AWT （IAP20 mmHg accompanied by new organ dysfunction or failure （with or without abdominal perfusion pressure 　　The correlation between AWT and UBP was statistically analyzed. The two different postures and respiration phases of the AWT values were compared. The gender， height and weight of each patient were recorded. The BMI values of the patients with IAP 　　Although the IAP of critically ill patients was usually 5?C7 mmHg according to the WSACS criteria， we found that the organ function in ICU patients was minimally affected at IAP25 and some were even 40， but BMI in our study was relatively lower. In future studies， the numbers of observed patients should be increased and BMI should be included to investigate the effects of BMI on IAP and AWT. When IAP values are evaluated in clinical practice via AWT， especially when normal， gender and BMI should not be ignored. 　　In conclusion， a significant linear correlation was observed between AWT and UBP in ICU patients. It was feasible to use AWT to monitor IAP. The AWT method is very simple， fast， and accurate. It is an important method to monitor IAP in the