Non-Invasive Intra-Abdominal Pressure Measurement by Means of Transient Radar Method: In Vitro Validation of a Novel Radar-Based Sensor

Intra-abdominal hypertension, defined as an intra-abdominal pressure (IAP) equal to or above 12 mmHg is one of the major risk-factors for increased morbidity (organ failure) and mortality in critically ill patients. Therefore, IAP monitoring is highly recommended in intensive care unit (ICU) patient...

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Main Authors: Salar Tayebi, Ali Pourkazemi, Manu L.N.G. Malbrain, Johan Stiens
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/21/18/5999
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author Salar Tayebi
Ali Pourkazemi
Manu L.N.G. Malbrain
Johan Stiens
author_facet Salar Tayebi
Ali Pourkazemi
Manu L.N.G. Malbrain
Johan Stiens
author_sort Salar Tayebi
collection DOAJ
description Intra-abdominal hypertension, defined as an intra-abdominal pressure (IAP) equal to or above 12 mmHg is one of the major risk-factors for increased morbidity (organ failure) and mortality in critically ill patients. Therefore, IAP monitoring is highly recommended in intensive care unit (ICU) patients to predict development of abdominal compartment syndrome and to provide a better care for patients hospitalized in the ICU. The IAP measurement through the bladder is the actual reference standard advocated by the abdominal compartment society; however, this measurement technique is cumbersome, non-continuous, and carries a potential risk for urinary tract infections and urethral injury. Using microwave reflectometry has been proposed as one of the most promising IAP measurement alternatives. In this study, a novel radar-based method known as transient radar method (TRM) has been used to monitor the IAP in an in vitro model with an advanced abdominal wall phantom. In the second part of the study, further regression analyses have been done to calibrate the TRM system and measure the absolute value of IAP. A correlation of –0.97 with a <i>p</i>-value of 0.0001 was found between the IAP and the reflection response of the abdominal wall phantom. Additionally, a quadratic relation with a bias of −0.06 mmHg was found between IAP obtained from the TRM technique and the IAP values recorded by a pressure gauge. This study showed a promising future for further developing the TRM technique to use it in clinical monitoring.
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spelling doaj.art-20a4d49954a84db99330777613902a992023-11-22T15:10:04ZengMDPI AGSensors1424-82202021-09-012118599910.3390/s21185999Non-Invasive Intra-Abdominal Pressure Measurement by Means of Transient Radar Method: In Vitro Validation of a Novel Radar-Based SensorSalar Tayebi0Ali Pourkazemi1Manu L.N.G. Malbrain2Johan Stiens3Department of Electronics and Informatics, Vrije Universiteit Brussel, 1050 Brussels, BelgiumDepartment of Electronics and Informatics, Vrije Universiteit Brussel, 1050 Brussels, BelgiumFirst Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, 20-059 Lublin, PolandDepartment of Electronics and Informatics, Vrije Universiteit Brussel, 1050 Brussels, BelgiumIntra-abdominal hypertension, defined as an intra-abdominal pressure (IAP) equal to or above 12 mmHg is one of the major risk-factors for increased morbidity (organ failure) and mortality in critically ill patients. Therefore, IAP monitoring is highly recommended in intensive care unit (ICU) patients to predict development of abdominal compartment syndrome and to provide a better care for patients hospitalized in the ICU. The IAP measurement through the bladder is the actual reference standard advocated by the abdominal compartment society; however, this measurement technique is cumbersome, non-continuous, and carries a potential risk for urinary tract infections and urethral injury. Using microwave reflectometry has been proposed as one of the most promising IAP measurement alternatives. In this study, a novel radar-based method known as transient radar method (TRM) has been used to monitor the IAP in an in vitro model with an advanced abdominal wall phantom. In the second part of the study, further regression analyses have been done to calibrate the TRM system and measure the absolute value of IAP. A correlation of –0.97 with a <i>p</i>-value of 0.0001 was found between the IAP and the reflection response of the abdominal wall phantom. Additionally, a quadratic relation with a bias of −0.06 mmHg was found between IAP obtained from the TRM technique and the IAP values recorded by a pressure gauge. This study showed a promising future for further developing the TRM technique to use it in clinical monitoring.https://www.mdpi.com/1424-8220/21/18/5999intra-abdominal pressurenon-invasive measurementmicrowave reflectometrytransient radar method
spellingShingle Salar Tayebi
Ali Pourkazemi
Manu L.N.G. Malbrain
Johan Stiens
Non-Invasive Intra-Abdominal Pressure Measurement by Means of Transient Radar Method: In Vitro Validation of a Novel Radar-Based Sensor
Sensors
intra-abdominal pressure
non-invasive measurement
microwave reflectometry
transient radar method
title Non-Invasive Intra-Abdominal Pressure Measurement by Means of Transient Radar Method: In Vitro Validation of a Novel Radar-Based Sensor
title_full Non-Invasive Intra-Abdominal Pressure Measurement by Means of Transient Radar Method: In Vitro Validation of a Novel Radar-Based Sensor
title_fullStr Non-Invasive Intra-Abdominal Pressure Measurement by Means of Transient Radar Method: In Vitro Validation of a Novel Radar-Based Sensor
title_full_unstemmed Non-Invasive Intra-Abdominal Pressure Measurement by Means of Transient Radar Method: In Vitro Validation of a Novel Radar-Based Sensor
title_short Non-Invasive Intra-Abdominal Pressure Measurement by Means of Transient Radar Method: In Vitro Validation of a Novel Radar-Based Sensor
title_sort non invasive intra abdominal pressure measurement by means of transient radar method in vitro validation of a novel radar based sensor
topic intra-abdominal pressure
non-invasive measurement
microwave reflectometry
transient radar method
url https://www.mdpi.com/1424-8220/21/18/5999
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