JDMS Article - SDMS CME Credit

Article: Inpatient Evaluation of Intra-Abdominal Pressure Completed With a Urinary Catheter as Compared With Ultrasonographic Vessel Measurements

Authors: Keihan Golshani, MD, Reza Azizkhani, MD, and Fereidon Foroutan, MD

Category: Abdomen [AB]

Credit: 0.5 SDMS CME Credit

Objectives: After studying the article entitled “Inpatient Evaluation of Intra-Abdominal Pressure Completed With a Urinary Catheter as Compared With Ultrasonographic Vessel Measurements,” you will be able to:

1. Identify intra-abdominal pressure (IAP)

2. Correlate the effects IAP has on organ function

3. Discover different ways to noninvasively test IAP

1. Normal IAP ranges from 0 to 6.5 mm Hg in a healthy adult but can temporarily increase with which of the following activity?

2. Standing

3. Squatting

4. Expiration

Increase in IAP can lead to abdominal compartment syndrome, which is associated with organ dysfunction and an IAH of:

>12 mm Hg

<15 mm Hg

>15 mm Hg

>20 mm Hg

In this study, the internal jugular vein (IJV) diameter was measured by ultrasound at the level of the:

Sternocleidomastoid muscle triangle

Hyoid

Left clavicle

Right mandible edge

The tricuspid annular plane systolic excursion (TAPSE) is best obtained with what ultrasound method?

Color Doppler

M-mode

Continuous-wave Doppler

Gray scale

Which of the following noninvasive tests were more useful in determining IAP?

Urinary catheter pressure

Common femoral vein (CFV) diameter

TAPSE method

Inferior vena cava (IVC) diameter