Bladder pressure measurements in patients admitted to a medical intensive care unit

Evamarie Anvari*, Nopakoon Nantsupawat, Ruth Gard, Rishi Raj, Kenneth Nugent

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: Intra-abdominal hypertension is identified as an independent risk factor for death. However, this pathophysiological state is not always considered in patients in medical intensive care units and is frequently underdiagnosed. Methods: Serial bladder pressure measurements were recorded in patients admitted to the medical intensive care units to determine the frequency of intra-abdominal hypertension. Results: This study included 53 patients with a mean age of 59.0 ± 17.7 years. The average admission intra-abdominal pressure was 10.0 ± 5.4 mm Hg with a range of 0 to 28 mm Hg. Eleven patients (21%) had an initial pressure reading above normal (>12 mm Hg). Peak airway pressures were higher, and PaO 2 /FiO 2 ratios were lower in patients with an initial pressure >12 mm Hg. Conclusions: Bladder pressure measurements provide an easy method to estimate intra-abdominal pressures and provide an additional tool for the physiologic assessment of critically ill patients.

Original languageEnglish (US)
Pages (from-to)181-185
Number of pages5
JournalAmerican Journal of the Medical Sciences
Volume350
Issue number3
DOIs
StatePublished - Sep 8 2015

Keywords

  • Abdominal compartment syndrome
  • Bladder pressure measurement
  • Intra-abdominal hypertension
  • Medical intensive care

ASJC Scopus subject areas

  • Medicine(all)

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