preOx.RS GmbH

To ease Intra Abdominal Pressure (IAP) measurment preOx.RS GmbH, Germany launches a new treatment kit. Medical professionals in ICU are looking for easy and quick handling products to achieve reliable and replicable results.

Abdominal compartment syndrome (ACS) is defined as an increase of intra abdominal pressure (IAP) >20mmHG.

Organ failure, respiratory and renal dysfunction are possible consequences of a non identified intra abdominal hypertension (IAH).

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are common and associated with substantial morbidity and mortality among critically ill adults [1-4]. These conditions have been linked with acute and chronic renal failure [5-9], multiorgan dysfunction syndrome (MODS) [10], increased lengths of intensive care unit (ICU) and hospital stay [10], and elevated mortality [5,7,10]. Unfortunately, it remains unknown if prevention or treatment (either surgical or medical) of IAH/ACS among these patients improves patient-important outcomes. Identifying critically ill patients at risk for IAH/ACS is therefore important.

Close monitoring of organ function and intra-abdominal pressure (IAP) allows clinicians to diagnose ACS rapidly and intervene with target-specific management to reduce IAP.

Thus since more than 15 years the WSACS (World Society of Abdominal Compartment Syndrome) published studies and consensus definitions of ACS and IAH less than 50% of ICU clinicians know how to measure IAP.

Self constructed measure equipment is used without considering the consequences of non reliable and replicable measurement methods. Missinterpretation is often the result and could lead to wrong treatment.
The most common and cost effective way ( 90%) of IAP measurement is the intravesicular way. The bladder is used as a pressure sensor by using a foley catheter connected to a pressure transducer.

Few medical device manufacturers developed IAP measurement devices with various success. Since the new Medical Device Regulation (MDR) is in place many medical devices were discontinued due to increased regulatory requirements.

Niche products such as IAP measurement devices or thoracic lavage catheters were discontinued by the big players as they do not create enough commercial value for them.

This is the time for small medical device manufacturers. preOx.RS GmbH is known as a company which transfers medical professional needs into an easy to use medical device. The focus is always on patient and user safety as well as easy handling.

preOx-IAP-Adapter Set has been developed with this focus. This kit includes all necessary components for a safe, time- and cost efficient setup of IAP measurement in ICU. Clearly colour coded tubing lines guarantee a self explaining sequence. Paired with a step by step video instruction it is the perfect kit for easy understanding and use.

After thousands of treatments were performed with preOx-IAP-Adapter Set in Germany and Austria, now it is available in the UK.

1. Malbrain MLNG, Chiumello D, Pelosi P, Wilmer A, Brienza N, Malcangi V, Bihari D,
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7. Sugrue M, Buist MD, Hourihan F, Deane SA, Bauman A, HIllman K: Prospective study of intra-abdominal hypertension and renal function after laparotomy. Br J Surg 1995, 82:235–238.
8. Sugrue M, Jones F, Deane SA, Bishop G, Bauman A, HIllman K: Intra-abdominal hypertension is an independent cause of postoperative renal impairment. Arch Surg 1999, 134:1082–1085.
9. Dalfino L, Tullo L, Donadio I, Malcangi V, Brienza N: Intra-abdominal hypertension and acute renal failure in critically ill patients. Intensive Care Med 2008, 34:707–713.
10. Ke L, Ni HB, Sun JK, Tong ZH, Li WQ, Li N, Li JS: Risk factors and outcomes of intra-abdominal hypertension in patients with severe acute pancreatitis. World J Surg 2012, 36:171–178

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