Determination and validation of volume to be instilled for standardized intra-abdominal pressure measurement in dogs.

Research paper by Leilani Ireland LI Way, Eric E Monnet

Indexed on: 22 Jul '14Published on: 22 Jul '14Published in: Journal of Veterinary Emergency and Critical Care


The objectives of this study were to determine (1) most appropriate volume of saline to be infused into the bladder prior to intra-abdominal pressure (IAP) measurement, (2) to determine if a difference exists between IAP measurements before and after abdominal surgery, and (3) to assess the variability in IAP measurements associated with different saline volumes.Prospective study.University teaching hospital.Fifteen female research dogs, 7 undergoing ovariohysterectomy (OHE), and 8 undergoing laparoscopy.All dogs had urinary catheters placed and 4 consecutive IAP measurements measured using a different volume of instilled saline (0.25, 0.5, 1, and 2 mL/kg) at baseline. Measurements were repeated intraoperatively in laparoscopy dogs and postoperatively in OHE dogs.For both groups of dogs, the volume infused into the bladder significantly affected IAP measurement. An instilled volume of 1 mL/kg of saline produced the best correlation (R(2) = 0.44, P = 0.04) between IAP measurement and laparoscopic insufflator pressure. The mean (±SD) preoperative IAP (cmH2 O) using 1 mL/kg instilled saline was 7.9 ± 1.4 and 9.6 ±1.9 for laparoscopy and OHE dogs, respectively. There was no difference in IAP before and after surgery in the dogs undergoing an OHE (P = 0.58). The volume of saline instilled into the bladder significantly affected the IAP (P = 0.0028).One milliliter per kilogram instilled saline is recommended for standardized IAP pressure measurement in dogs. IAP in clinically normal dogs was not affected by abdominal surgery.