Journal article
Evaluation of the TraumaGuard Balloon-in-Balloon Catheter Design for Intra-Abdominal Pressure Monitoring: Insights from Pig and Human Cadaver Studies
SENSORS, v 23(21), 8806
Nov 2023
PMID: 37960507
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction: Intra-abdominal pressure (IAP) monitoring is crucial for the detection and prevention of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). In the 1970s, air-filled catheters (AFCs) for urodynamic studies were introduced as a solution to overcome the limitations of water-perfused catheters. Recent studies have shown that for correct IAP measurement with traditional AFC, the bladder needs to be primed with 25 mL of saline solution to allow pressure wave transmission to the transducer outside of the body, which limits continuous IAP monitoring. Methods: In this study, a novel triple balloon, air-filled TraumaGuard (TG) catheter system from Sentinel Medical Technologies (Jacksonville, FL, USA) with a unique balloon-in-balloon design was evaluated in a porcine and cadaver model of IAH via laparoscopy (IAPgold). Results: In total, 27 and 86 paired IAP measurements were performed in two pigs and one human cadaver, respectively. The mean IAPTG was 20.7 +/- 10.7 mmHg compared to IAPgold of 20.3 +/- 10.3 mmHg in the porcine study. In the cadaver investigation, the mean IAPTG was 15.6 +/- 10.8 mmHg compared to IAPgold of 14.4 +/- 10.4 mmHg. The correlation, concordance, bias, precision, limits of agreement, and percentage error were all in accordance with the WSACS (Abdominal Compartment Society) recommendations and guidelines for research. Conclusions: These findings support the use of the TG catheter for continuous IAP monitoring, providing early detection of elevated IAP, thus enabling the potential for prevention of IAH and ACS. Confirmation studies with the TraumaGuard system in critically ill patients are warranted to further validate these findings.
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Details
- Title
- Evaluation of the TraumaGuard Balloon-in-Balloon Catheter Design for Intra-Abdominal Pressure Monitoring: Insights from Pig and Human Cadaver Studies
- Publication Details
- SENSORS, v 23(21), 8806
- Publisher
- MDPI; BASEL
- Grant note
- All study devices were provided free of charge. The authors of the ETRO department acknowledge the SB fellow at FWO (SB van het FWO), Fonds Wetenschappelijk Onderzoek-Vlaanderen, Research Foundation-Flanders, project number: 1S51124N. No other (financial) support was provided.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001099541700001
- Scopus ID
- 2-s2.0-85176895677
- Other Identifier
- 991021861197504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Chemistry, Analytical
- Engineering, Electrical & Electronic
- Instruments & Instrumentation