Abstract:
OBJECTIVE:Intra-abdominal pressure (IAP) has traditionally been measured in the supine position, however, measuring the pressure in lateral semi-recumbent position has not been studied. DESIGN:A single centre prospective 1-day study. PATIENTS:10 patients admitted for more then 24 hours who were mechanically ventilated and had an indwelling urinary catheter. METHODS:Inclusion criteria included were age > 18 years, sedated to a RASS score of -5 and mechanically ventilated. The pressures were measured via the bladder with the mid-axillary line as zero reference point. When patients were nursed in lateral decubitus, pressures were measured and compared immediately to the supine position. RESULTS:10 patients were included with a total of 60 measurements.The male/female ratio was 9:1 with a mean APACHE Pi score of 11.5 [95% CI 4.8-22.4], SAPS 2 of 31.5 [95% CI 8.9-35.8] and SOFA score of 4.0 [95% CI 1.8-7.2]. Four patients were medical and 6 were surgical. The mean IAP at different time intervals (morning, afternoon and evening) in lateral and supine position were 10.9 +/- 2.0 (in mmHg) vs 6.6 +/- 3.2 (SD with p < 0.001); 11.0 +/- 4.0 vs 5.4 +/- 2.2 (p < 0.0005) and 11.6 +/- 3.8 vs 7.8 +/- 3.0 (p< 0.001). Overall, the LSP did not change significantly (p= 0.76), but the SP did (p=0.006) with the afternoon reading being significantly lower than the evening measurement. However, the trend in the difference (LSP minus SP) was not significant (p=0.43). CONCLUSION:There was a significant statistical difference in the pressures measured in LSP versus SP.The LSP position should not be used to measure IAP.
journal_name
Acta Clin Belgjournal_title
Acta clinica Belgicaauthors
De Keulenaer BL,Cheatham ML,De Waele JJ,Kimball EJ,Powell B,Davis WA,Jenkins IRdoi
10.1179/acb.2009.037subject
Has Abstractpub_date
2009-05-01 00:00:00pages
210-5issue
3eissn
1784-3286issn
2295-3337journal_volume
64pub_type
杂志文章abstract::Objectives: Behçet's disease (BD) is a multi-systemic inflammatory disorder which can affect all types and sizes of vessels.The usage of TNF-α antagonists is increasing in different involvements of BD that is inadequately controlled by standard immunosuppressive regimens. Methods: Here we reported a rare BD case that ...
journal_title:Acta clinica Belgica
pub_type: 杂志文章,评审
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journal_title:Acta clinica Belgica
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pub_type: 杂志文章,评审
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journal_title:Acta clinica Belgica
pub_type: 杂志文章
doi:10.1080/17843286.1990.11718077
更新日期:1990-01-01 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章
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更新日期:1994-01-01 00:00:00
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doi:10.1080/17843286.2016.1183285
更新日期:2016-10-01 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章
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journal_title:Acta clinica Belgica
pub_type: 杂志文章,多中心研究
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abstract::We report the case of a 32-year-old patient with Wegener's granulomatosis (WG) associated with a (biopsy - proven) renal inflammatory pseudotumour (IPT) of the left kidney treated by a partial nephrectomy, glucocorticoids and immunosuppressive drugs, in whom a relapse of renal IPT was found 6 years after the diagnosis...
journal_title:Acta clinica Belgica
pub_type: 杂志文章
doi:10.1179/acb.2010.65.6.011
更新日期:2010-11-01 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章,多中心研究
doi:10.1179/acb.2006.019
更新日期:2006-05-01 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章
doi:10.1080/17843286.2018.1534577
更新日期:2019-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1080/17843286.2020.1763671
更新日期:2020-05-12 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章
doi:10.2143/ACB.66.4.2062566
更新日期:2011-07-01 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章,评审
doi:10.1179/acb.2007.053
更新日期:2007-09-01 00:00:00
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pub_type: 杂志文章
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doi:10.2143/ACB.67.1.2062627
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pub_type: 杂志文章,评审
doi:10.1179/acb.2002.015
更新日期:2002-03-01 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章
doi:10.1179/acb.2002.072
更新日期:2002-01-01 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章,评审
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更新日期:2007-05-01 00:00:00
abstract::Objectives: Campylobacter jejuni is one of the most common causative agents of gastroenteritis; however C. jejuni meningitis is rarely described. Therefore, little is known about its epidemiology, clinical presentation, diagnostic methods, treatment, and outcomes.Methods: In this paper, we report a case of an adult pa...
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pub_type: 杂志文章
doi:10.1080/17843286.2020.1721133
更新日期:2020-01-28 00:00:00
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pub_type: 杂志文章,评审
doi:10.1179/acb.2006.042
更新日期:2006-09-01 00:00:00
abstract::Background Neurologic and liver involvement in Wilson's disease (WD) is well-documented, however, few reports demonstrated cardiac involvement. Tpe and Tpe/QT are new measures of ventricular repolarization which were recently suggested as predictor of arrythmogenesis. We aimed to evaluate ventricular depolarization an...
journal_title:Acta clinica Belgica
pub_type: 杂志文章
doi:10.1080/17843286.2018.1443001
更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.2143/ACB.67.3.2062657
更新日期:2012-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1080/17843286.2020.1762351
更新日期:2020-05-12 00:00:00
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更新日期:2016-02-01 00:00:00
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journal_title:Acta clinica Belgica
pub_type: 杂志文章,评审
doi:10.1080/17843286.1999.11754250
更新日期:1999-10-01 00:00:00