Intravesical monitoring of intra-abdominal pressure after renal transplantation in children: A safety and feasibility study
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Intravesical monitoring of intra-abdominal pressure after renal transplantation in children: A safety and feasibility study. / Wagner, Jula; Herden, Uta; Fischer, Lutz; Schild, Raphael; Vettorazzi, Eik; Herrmann, Jochen; Ebenebe, Chinedu Ulrich; Singer, Dominique; Deindl, Philipp.
In: PEDIATR TRANSPLANT, Vol. 24, No. 7, 11.2020, p. e13781.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Intravesical monitoring of intra-abdominal pressure after renal transplantation in children: A safety and feasibility study
AU - Wagner, Jula
AU - Herden, Uta
AU - Fischer, Lutz
AU - Schild, Raphael
AU - Vettorazzi, Eik
AU - Herrmann, Jochen
AU - Ebenebe, Chinedu Ulrich
AU - Singer, Dominique
AU - Deindl, Philipp
N1 - © 2020 The Authors. Pediatric Transplantation published by Wiley Periodicals LLC.
PY - 2020/11
Y1 - 2020/11
N2 - IAH after RTX can threaten graft viability. This study aimed to assess the feasibility and safety of longitudinal IAP measurements as an IAH screening method in children after RTX. A cohort of eight children with a mean ± SD [range] age 9.6 ± 6.2 [2-17] years who underwent RTX and 18 control patients were evaluated between May 2017 and February 2018. We compared longitudinal IAP measurements using a Foley manometer to other clinical monitoring data. In total, 29 IAP measurements were performed in RTX patients and 121 in controls. The mean post-operative IAP was 7.4 ± 4.3 [1-16] mm Hg following RTX and 8.1 ± 3.7 [1-19] mm Hg in controls. We noted IAH in 9 (31%) of 29 IAP measurements after RTX and in 41 (34%) of 121 IAP measurements in controls. No graft dysfunction occurred in RTX patients despite elevated IAP values. The mean ± SD [range] time expenditure for IAP measurement was 2.1 ± 0.4 [0.6-3.2] minutes. No severe complications occurred during the IAP measurements. Analysis of longitudinal IAP measurements demonstrated that IAP measurement is safe and feasible in children recovering from renal transplantation in the PICU.
AB - IAH after RTX can threaten graft viability. This study aimed to assess the feasibility and safety of longitudinal IAP measurements as an IAH screening method in children after RTX. A cohort of eight children with a mean ± SD [range] age 9.6 ± 6.2 [2-17] years who underwent RTX and 18 control patients were evaluated between May 2017 and February 2018. We compared longitudinal IAP measurements using a Foley manometer to other clinical monitoring data. In total, 29 IAP measurements were performed in RTX patients and 121 in controls. The mean post-operative IAP was 7.4 ± 4.3 [1-16] mm Hg following RTX and 8.1 ± 3.7 [1-19] mm Hg in controls. We noted IAH in 9 (31%) of 29 IAP measurements after RTX and in 41 (34%) of 121 IAP measurements in controls. No graft dysfunction occurred in RTX patients despite elevated IAP values. The mean ± SD [range] time expenditure for IAP measurement was 2.1 ± 0.4 [0.6-3.2] minutes. No severe complications occurred during the IAP measurements. Analysis of longitudinal IAP measurements demonstrated that IAP measurement is safe and feasible in children recovering from renal transplantation in the PICU.
U2 - 10.1111/petr.13781
DO - 10.1111/petr.13781
M3 - SCORING: Journal article
C2 - 32790967
VL - 24
SP - e13781
JO - PEDIATR TRANSPLANT
JF - PEDIATR TRANSPLANT
SN - 1397-3142
IS - 7
ER -