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At least 37 records · Page 2Linked to original sources
PubMed1995

Placental abruption after insertion of catheter tip intrauterine pressure transducers: a report of four cases.

BACKGROUND: Although intrauterine pressure transducers have proven efficacious in the management of certain laboring women, their use has been associated with small but definite risks to both mother and fetus. The introduction of catheter tip pressure transducers has facilitated the evaluation of intrauterine pressure, but there has been a paucity of data regarding complication rates with these newer devices. CASES: We report four cases of placental abruption following insertion of catheter tip intrauterine pressure transducers. Two were associated with placental lacerations. None of these patients had definite risk factors for abruption, but they developed signs and symptoms typical of it after insertion of the catheters. Perinatal outcomes were good except in one neonate, who developed shock secondary to anemia. Three of the four cases occurred when 599 patients at our institution were monitored with catheter tip pressure transducers. CONCLUSION: Although the risk of injury is small, neonatal morbidity can be severe, and an evaluation of risk versus benefit should be made prior to insertion of these devices.

Abruptio Placentae↗
PubMedDate not supplied

Comparison of measurements obtained with microtip and external water pressure transducers.

The aim of this study was to compare pressure readings obtained with catheter-mounted microtip and external water pressure transducers using a mechanical model for vesical pressure during Valsalva straining and coughing. The two catheter-mounted pressure transducers were simultaneously placed in a vinyl i.v. bag designed to mimic the parameters of the human bladder to allow comparison of simultaneous readings from both transducers. Simulated cough and Valsalva maneuvers of various strengths at different volumes (100 ml, 200 ml, 300 ml) were performed and the pressure readings generated by the two systems compared. The Pearson correlation coefficient between the systems was 0.998 for coughs and 0.998 for Valsalva efforts. Data were also analyzed by volume and strength of simulated cough and Valsalva effort, and correlations were found to be high (> or = 0.940) for all subgroup analyses. Mean absolute differences between events recorded by the two systems were small, as indicated by the y-intercept of 3.76 cmH2O pressure. Neither transducer recorded consistently higher pressures than the other. We concluded that there is a high correlation between pressure measurements obtained from microtip and external water pressure transducers during simulated cough and Valsalva efforts in this model. As similar correlation should exist in vivo, urodynamic data generated by the two transducer types should be comparable.

Cough↗
PubMed1984

[Study of hemodynamics using a flow-pressure transducer].

A method for simultaneous measuring the pressure and blood flow through the vascular wall is described. It is based on the application of a miniature pressure transducer combined with an ultrasonic blood flow transducer. The tests were performed in a Pitotube by means of pulsing flows. The flow-pressure transducer was applied to studying the hemodynamics of the cat thoracic aorta.

Animals↗
PubMed1974

Pressure transducer method for measuring gas production by microorganisms.

A simple method for measuring gas production by microorganisms by using a pressure transducer to sense pressure buildup was developed and tested with members of the coliform group. The test system consisted of a 5.0 lb/in(2) pressure transducer and a pressure equalizer valve attached to the metal cap of a test tube (20 by 150 mm); gas pressure was recorded on a strip-chart recorder. Gas pressure response curves consisted of (i) a lag period with no marked increase in pressure, (ii) a rapid pressure buildup period, and (iii) a leveling-off period. A linear relationship was established between inoculum size and length of the lag period. Cultures shaken at 200 oscillations/min showed a marked increase in rate of gas release over stationary cultures. Cell concentrations at the time of rapid buildup in pressure were 10(8)/ml. Mean maximum pressure recordings, lb/in(2) per 10 ml of broth, were: Enterobacter aerogenes, 3.70; Citrobacter intermedium, 2.70; and Escherichia coli, 2.10. Mean CO(2) concentrations, ppm of headspace gas, for E. coli were: (i) 2,000 at time of inoculation, (ii) 25,000 at time of rapid buildup in pressure, and (iii) 150,000 at maximum pressure. These results indicate the potential application of the pressure transducer method for rapidly detecting coliforms and other gas-producing microorganisms in clinical samples and in sterility testing of foods.

Bacteria↗
PubMed1985

The use of catheter-tipped pressure transducers for chronic measurement of genital tract pressures in the ewe. I. Implantation technique, catheter performance and data analysis.

A computerised system for chronic in vivo monitoring of genital tract pressure in the ewe is described. Solid-state, catheter-tipped pressure transducers were surgically implanted in the uterine tube (ampulla), ipsilateral uterine horn and abdomen of five non-pregnant parous ewes. The catheters were connected to a portable computer which recorded the pressure at each location once per second and was programmed to analyse the data as mean pressure and area under the contraction curve over given periods. The catheters remained implanted for up to 129 days and 252 daily recordings were made. Analysis of spontaneous activity showed little variation in mean pressure of work done over four successive ten-minute periods. Although the amplitude of uterine contractions varied quite dramatically, chiefly in relation to variation in the plasma progesterone concentration, ampullary activity was unaffected by such changes. Genital tract pressures did not appear to be influenced by abdominal events. The catheters provoked minimal tissue reaction, and it is suggested that the system is suitable for chronic in vivo recording of genital tract pressure in the ewe.

Journal Article↗
PubMed1993

Placental abruption following placement of disposable intrauterine pressure transducer system.

There have been few reported complications of intrauterine pressure monitoring. We present four cases of placental abruption following insertion of a disposable intrauterine pressure transducer system (INTRAN). All four patients had placental abruptions, which were evident soon after insertion of the disposable intrauterine pressure transducer system (all of our cases had predisposing factors or signs of placental abruption at presentation). Whether there was a preexisting placental abruption, which was caused, revealed, or worsened by insertion of the disposable intrauterine pressure transducer system is unclear. We encourage careful patient selection with gentle insertion of the system opposite the placental site.

Abruptio Placentae↗
PubMed1986

The use of catheter-tipped pressure transducers for chronic measurement of genital tract pressures in the ewe. II. Effects of oxytocin and prostaglandin F(2)alpha.

Chronic catheterisation of the uterus, ampulla, and abdomen was performed in five ewes using solid-state, catheter-tipped pressure transducers. The catheters remained in place for up to 129 d, allowing in vivo studies of the effects of oxytocin and prostaglandin F(2)alpha (PGF(2)alpha). These agents did not produce any measurable increase in abdominal pressure. Intravenous (i.v.) oxytocin elicited a rapid increase in work done by both the uterus and ampulla. Intramuscular (i.m.) PGF(2)alpha produced a delayed uterine response but little change in the ampulla; i.v. PGF(2)alpha produced a rapid response at both sites. Low plasma progesterone concentrations (< 0.5 ng/ml) were associated with a greater uterine and ampullary response to oxytocin and with an enhanced uterine response to PGF(2)alpha. However, the uterine tube response to intravenous PGF(2)alpha was greatest when plasma progesterone concentrations were high.

Journal Article↗
PubMed2002

Assessment of inspiratory flow limitation in children with sleep-disordered breathing by a nasal cannula pressure transducer system.

A nasal cannula pressure transducer system identifies inspiratory flow limitation and increased upper airway resistance in adults with sleep-disordered breathing (SDB). The purpose of this study was to evaluate whether nasal cannula pressure (NCP) detects apneas and hypopneas as well as additional flow-limited events associated with increased airway resistance in children. We studied NCP in 47 patients (ages 2-14 years) referred for SDB to a university-based sleep disorders program during nocturnal polysomnography (NPSG). During NPSG, airflow was assessed simultaneously by thermistor and NCP. There was a high correlation between apneas assessed by thermistor (T) and NCP (r = 0.90, P < 0.0001), and for hypopneas using these two methods (r = 0.94, P = 0.0001). Respiratory driving pressure was indirectly measured with an esophageal pressure catheter. Flow-limited (flattened) NCP waves were associated with significantly higher driving pressure, indicating elevated upper airway resistance, compared to nonflow-limited (rounded) waves during nonrapid eye movement (NREM) (P = 0.05) and rapid eye movement (REM) (P = 0.01) sleep. Patients were classified as either having obstructive sleep apnea syndrome (OSAS) or primary snoring, based on standard NPSG criteria. NCP identified additional respiratory events with a flattened contour (FC) not detected by thermistor. NCP is a noninvasive device that identifies obstructive apneas and hypopneas as well as additional respiratory events associated with flow limitation in children.

Adolescent↗
PubMed2005

A multicentered comparison of measurements obtained with microtip and external water pressure transducers.

This study compared simultaneous intravesical pressure readings obtained with catheter-mounted microtip transducers and external water pressure transducer catheters during filling cystometry. Women undergoing multichannel urodynamic testing were randomly assigned to one of three groups: two microtip catheters, two external water pressure transducer catheters, or one of each type. Intravesical pressure was measured simultaneously for each transducer combination in each subject for minimal and maximal Valsalva effort and minimal, moderate, and maximal cough effort at two sequential bladder volumes (150 and 300 ml). Paired t tests were used to compare the means of the intravesical pressure obtained by the two types of catheters. The largest mean differences were observed when comparing microtip and water pressure transducers. Correlations of maximum pressure were consistently high between two microtip transducers and two water pressure transducers but lower for the microtip-water combination. Excellent reproducibility was demonstrated with transducers of similar types for intravesical pressures recorded during Valsalva and cough in women without prolapse. However, considerable variability was seen in pressures recorded by different transducers, particularly dependent on the water catheter manufacturer, indicating that intravesical pressure recordings from microtip and water-based systems are not interchangeable.

Adult↗
PubMed1998

Technology and application of ultraminiature catheter pressure transducers.

After a brief historical account of the methods for pressure measurements in the cardiovascular system, the basic structural elements of a new generation of miniaturized catheter pressure transducers are described. These catheters have an outside diameter at the tip of 0.9 mm (3 French) and have been routinely applied in left and right heart catheterization in intact, anesthetized rats. Together with cardiac output measured by the thermodilution technique, a complete set of basal functional parameters can be obtained in vivo. The method of cardiac catheterization in rats is accurate, reliable and easy to perform. As to left heart function, changes occurring in several models of cardiac hypertrophy and heart failure have been recorded and correlated with morphological and metabolic alterations. In addition, the functional effects of catecholamines and thyroid hormones have been evaluated. In addition to the routine catheterization procedure, a double catheter method has been introduced recently, which allows measurement of left ventricular isovolumetric pressure in intact rats. Catheterization of the right ventricle requires a more refined catheter with a characteristic bend at the tip so that it can be comfortably slid from the right atrium into the right ventricle. With this method it was found that right ventricular systolic pressure was elevated markedly in rats with chronic myocardial infarction induced by ligation of the left anterior descending coronary artery, by pulmonary artery banding, by intermittent chronic hypoxia and by noradrenaline administration. The ultraminiature catheter pressure transducer has also been successfully applied in an isolated working rat heart preparation. Recent modifications of this kind of catheters also enabled the catheterization of the left ventricle in mice. Future applications of ultraminiature catheter pressure transducers may be directed to catheterization of the pulmonary artery in rats and to the in vivo and in vitro assessment of heart function of transgenic mice.

Animals↗
PubMed2005

Power Doppler 'blanching' after the application of transducer pressure.

The aim of this study was to determine if transducer pressure modifies power Doppler assessments of rheumatoid arthritis synovium at the metacarpophalangeal joints and metatarsophalangeal joints. Five rheumatoid arthritis patients of varying degrees of 'disease activity' and damage were assessed with power Doppler ultrasound scanning of the dominant hand second to fifth metacarpophalangeal joints. Two rheumatoid arthritis patients had their dominant foot first to fifth metatarsophalangeal joints assessed with power Doppler ultrasound. Ultrasonography was performed with a high frequency transducer (14 MHz) with a colour mode frequency of 10 Mhz, and a standard colour box and gain. In the joint that showed the highest power Doppler signal, an image was made. A further image was taken after transducer pressure was applied. In all patients, there was increased flow to at least one joint. After pressure was applied, power Doppler signal intensity markedly reduced in all images and in some there was no recordable power Doppler signal. Increased transducer pressure can result in a marked reduction or obliteration in power Doppler signal. This power Doppler 'blanching' shows the need for further studies to evaluate sources of error and standardization before power Doppler ultrasound becomes a routine measure of 'disease activity' in rheumatoid arthritis.

Adult↗
PubMed1984

Intra-abdominal pressure measurements using a wireless radio pressure pill and two wire connected pressure transducers: a comparison.

Intra-abdominal pressures were measured simultaneously with a wireless radio pill and two wire-connected pressure transducers introduced orally and rectally respectively. Measurements were made on 8 men during common postures, simple activities and static and dynamic lifting. An acceptable correspondence was found in wave forms of the generated pressure curves in time and shape. The three systems showed, however, a less good agreement in recorded peak differences, i.e. highest and lowest pressure responses to each task. The radio pill is simple to use, but more difficult to calibrate and expensive, compared to the wire-connected methods, which however are less attractive for use in the work environment.

Abdomen↗
PubMed1985

Fiber-optic pressure transducer for use near MR magnetic fields.

Measurement of physiologic pressures in the vicinity of magnetic fields has been difficult because present pressure transducers contain conductive elements. A fiber-optic pressure transducer was developed that contains no conductive parts and is useful for making continuous pressure measurements within magnetic resonance magnetic fields.

Animals↗
PubMed1992

The accuracy of catheter-tip pressure transducers for the measurement of intrauterine pressure in labour.

OBJECTIVE: To assess the reliability of intrauterine pressure measurements in labour with transducer tipped catheters. DESIGN: Prospective clinical study. SETTING: Delivery ward, National University Hospital, Singapore. SUBJECTS: 20 women admitted in early labour were randomly allocated to two groups. INTERVENTIONS: Women in the first group had two catheters that had been tied together introduced transcervically into the same amniotic fluid pocket. The second group had two catheters introduced in different directions so that each catheter tip was in a different pocket of amniotic fluid. MAIN OUTCOME MEASURE: The contraction to contraction pressure difference recorded by the two catheters in the same uterus. In addition, the cumulative uterine active pressure generated by one catheter was compared with that of the other. RESULTS: There were differences in peak pressure of up to 4-5.3 kPa (30-40 mmHg) during some contractions. The difference in pressure recordings between the two catheters could not be explained by effects of loculation of amniotic fluid. However, the pressures recorded were not systematically higher in one catheter than in the other. Cumulative uterine activity was very similar when assessed by each catheter in the same uterus. CONCLUSION: Intrauterine pressure measurements using transducer tipped catheters provide reliable information on the cumulative pressure wherever the catheter tip was sited in the uterus, but there are variations in pressures recorded during individual contractions.

Catheterization↗
PubMed1987

Candida parapsilosis fungemia associated with parenteral nutrition and contaminated blood pressure transducers.

During the period September 1983 through May 1985, Candida parapsilosis was isolated from intravascular sites (blood or vascular catheter tips) in 12 patients at a pediatric hospital. Of 205 patients with cultures of any site positive for Candida species, 32 (16%) had cultures positive for C. parapsilosis. In contrast, of 23 patients with intravascular cultures positive for Candida species, 12 (51%) had cultures positive for C. parapsilosis (P less than 0.001, Fisher's exact test). The 12 patients with intravascular cultures positive for C. parapsilosis were more likely to have received central venous nutrition therapy (10 of 12 versus 7 of 23; P less than 0.01, Mantel-Haenzel chi-square test) and had a longer duration of exposure to blood pressure transducers (P less than 0.08, paired t test) than the 23 ward- and age-matched controls. C. parapsilosis was isolated from 11 (32%) of 34 in-use and stored blood pressure transducers. After ethylene oxide sterilization of blood pressure transducers was begun, in-use pressure transducers showed no growth of C. parapsilosis. This study emphasizes the role of C. parapsilosis as a nosocomial pathogen associated with invasive devices and parenteral nutrition; it also emphasizes the importance of adhering to recommended procedures for sterilizing blood pressure transducers.

Adolescent↗
PubMed1977

Measurement errors in pneumotachography due to pressure transducer design.

When pneumotachography is used during intermittent positive pressure ventilation (IPPV), the design of some differential pressure transducers can cause measurement errors. These errors may be avoided by using differential pressure transducers which have small, equal chambers free from temperature sensitive electrical elements. Few of the transducers which are sensitive enough for clinical use fulfil these requirements.

Diagnostic Errors↗