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Wauters J, Spincemaille L, Dieudonne AS, et al. A Novel Method (CiMON) for Continuous Intra-Abdominal Pressure Monitoring: Pilot Test in a Pig Model. Crit Care Res Pract. 2012;2012:181563doi: 10.1155/2012/181563.
Wauters, J., Spincemaille, L., Dieudonne, A. S., Van Zwam, K., Wilmer, A., & Malbrain, M. L. (2012). A Novel Method (CiMON) for Continuous Intra-Abdominal Pressure Monitoring: Pilot Test in a Pig Model. Critical care research and practice, 2012181563. https://doi.org/10.1155/2012/181563
Wauters, Joost, et al. "A Novel Method (CiMON) for Continuous Intra-Abdominal Pressure Monitoring: Pilot Test in a Pig Model." Critical care research and practice vol. 2012 (2012): 181563. doi: https://doi.org/10.1155/2012/181563
Wauters J, Spincemaille L, Dieudonne AS, Van Zwam K, Wilmer A, Malbrain ML. A Novel Method (CiMON) for Continuous Intra-Abdominal Pressure Monitoring: Pilot Test in a Pig Model. Crit Care Res Pract. 2012;2012:181563. doi: 10.1155/2012/181563. Epub 2012 Feb 20. PMID: 22454765; PMCID: PMC3290895.
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Crit Care Res Pract. 2012;2012:181563. doi: 10.1155/2012/181563. Epub 2012 Feb 20.

A Novel Method (CiMON) for Continuous Intra-Abdominal Pressure Monitoring: Pilot Test in a Pig Model.

Critical care research and practice

Joost Wauters, Liesbeth Spincemaille, Anne-Sophie Dieudonne, Kenny Van Zwam, Alexander Wilmer, Manu L N G Malbrain

Affiliations

  1. Medical Intensive Care Unit, University Hospital Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.

PMID: 22454765 PMCID: PMC3290895 DOI: 10.1155/2012/181563

Abstract

Background. Intravesical pressure (IAP(ivp)) measurement is considered to be the gold standard for assessment of intra-abdominal pressure (IAP). This study evaluated a new minimally invasive IAP monitoring device (CiMON) against three other devices in a wide range of clinically relevant IAP and in different body positions in healthy pigs. Methods. The CiMON catheter (IAP(CiM)) and another balloon-tipped catheter (IAP(spie)) were positioned into the stomach. Fluid-filled catheters were used for direct intraperitoneal (IAP(dir)) and IAP(ivp) measurement. Both in supine and 25° head-of-bed positions, IAP was increased from baseline to 30 mmHg. At every IAP level, 4 IAP measurements were recorded simultaneously. Mean differences and the limits of agreement were calculated. Results. Bias between IAP(CiM) and IAP(spie) was nearly zero with very good agreement, both in supine and 25° position. In supine position, IAP(CiM) slightly overestimated IAP(ivp) and IAP(dir) by 1.5 and 2.1 mmHg with reasonable agreement. In 25° position, IAP(CiM) underestimated IAP(ivp) and IAP(dir) by 1.0 and 0.5 mmHg, again with reasonable agreement. Conclusions. Agreement between IAP(CiM) and IAP(spie) was very good, while good-to-moderate agreement exists between IAP(CiM) and IAP(dir) or IAP(ivp). Simplicity, continuous monitoring, and the combination with a feeding tube should lead to further clinical studies, evaluating this new CiMON device.

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