The Correlation between Head of Bed Angle and Intra-Abdominal Pressure of Intubated Patients; a Pre-Post Clinical Trial

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Samimian Sedigheh; Ashrafi Sadra; KHALEGHDOOST MOHAMMADI TAHEREH; YEGANEH MOHAMMAD REZA; ASHRAF ALI; Hakimi Hamideh; DEHGHANI MARYAM

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Journal: Archives of Academic Emergency Medicine Year:2021 | Volume:9 | Issue:1 Page(s): 0-0

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Title

The Correlation between Head of Bed Angle and Intra-Abdominal Pressure of Intubated Patients; a Pre-Post Clinical Trial

Author(s)

Keywords

Pressure

Intra-abdominal Hypertension

Head of Bed

Critical care

Compartment syndrome

Supine Position

Abstract

Introduction: The recommended position for measuring Intra-Abdominal Pressure (IAP) is the Supine Position. However, patients put in this position are prone to Ventilator-associated pneumonia. This study was done to evaluate the relationship between bed head angle and IAP measurements of intubated patients in the intensive care unit. Methods: In this clinical trial, seventy-six critically ill patients under mechanical ventilation were enrolled. IAP measurement was performed every 8 hours for 24 hours using the KORN method in three different degrees of the Head of Bed (HOB) elevation (0± , 15± , and 30± ). Bland-Altman analysis was performed to identify the bias and limits of agreement among the three HOBs. According to World Society of the Abdominal Compartment syndrome (WSACS), we can consider two IAP techniques equivalent if a bias of <1 mmHg and limits of agreement of-4 to +4 were found between them. Data were analyzed using SPSS statistical software (v. 19), and the significance level was considered as 0. 05. Results: The prevalence of Intra-abdominal Hypertension was 18. 42%. Mean ± standard deviation (SD) of IAP were 8. 44 ± 4. 02 mmHg for HOB angle 0± , 9. 58 ± 4. 52 for HOB angle 15± , and 11. 10 ± 4. 73 forHOB angle 30o (p = 0. 0001). The IAPmeasurement bias between HOB angle 0± and HOB angle 15± was 1. 13 mmHg. This bias was 2. 66 mmHg between HOB angle 0± and HOB angle 30± . Conclusion: Elevation of HOB angle from 0 to 30 degree significantly increases IAP. It seems that the measurement of IAP at HOB angle 15± was more reliable than 30± .

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APA: Copy

Samimian, Sedigheh, Ashrafi, Sadra, KHALEGHDOOST MOHAMMADI, TAHEREH, YEGANEH, MOHAMMAD REZA, ASHRAF, ALI, Hakimi, Hamideh, & DEHGHANI, MARYAM. (2021). The Correlation between Head of Bed Angle and Intra-Abdominal Pressure of Intubated Patients; a Pre-Post Clinical Trial. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 9(1), 0-0. SID. https://sid.ir/paper/783896/en

Vancouver: Copy

Samimian Sedigheh, Ashrafi Sadra, KHALEGHDOOST MOHAMMADI TAHEREH, YEGANEH MOHAMMAD REZA, ASHRAF ALI, Hakimi Hamideh, DEHGHANI MARYAM. The Correlation between Head of Bed Angle and Intra-Abdominal Pressure of Intubated Patients; a Pre-Post Clinical Trial. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2021;9(1):0-0. Available from: https://sid.ir/paper/783896/en

IEEE: Copy

Sedigheh Samimian, Sadra Ashrafi, TAHEREH KHALEGHDOOST MOHAMMADI, MOHAMMAD REZA YEGANEH, ALI ASHRAF, Hamideh Hakimi, and MARYAM DEHGHANI, “The Correlation between Head of Bed Angle and Intra-Abdominal Pressure of Intubated Patients; a Pre-Post Clinical Trial,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 9, no. 1, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/783896/en

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