Comparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture

Nitin K Sekhri,1,2 Shalvi Parikh,1 Garret M Weber1,2 1Department of Anesthesiology, Westchester Medical Center, Valhalla, New York, USA; 2Department of Anesthesiology, New York Medical College, Valhalla, New York, USACorrespondence: Nitin K SekhriDepartment of Anesthesiology, Westchester Medical Cen...

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Autores principales:	Sekhri NK, Parikh S, Weber GM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	• lumbar puncture • opening pressure • closing pressure • iih • idiopathic intracranial hypertension • normal pressure hydrocephalus • digital manometer • water column manometer Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/2e95a702076244c1a25f78a44d35f121
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spelling	oai:doaj.org-article:2e95a702076244c1a25f78a44d35f1212021-12-02T06:51:10ZComparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture1179-1470https://doaj.org/article/2e95a702076244c1a25f78a44d35f1212019-10-01T00:00:00Zhttps://www.dovepress.com/comparison-of-digital-manometer-and-water-column-manometer-pressures-m-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Nitin K Sekhri,1,2 Shalvi Parikh,1 Garret M Weber1,2 1Department of Anesthesiology, Westchester Medical Center, Valhalla, New York, USA; 2Department of Anesthesiology, New York Medical College, Valhalla, New York, USACorrespondence: Nitin K SekhriDepartment of Anesthesiology, Westchester Medical Center, 100 Woods Road, Macy Suite W228, Valhalla, NY 10595, USATel +1 9144937693Fax +1 9144937927Email Nitin.Sekhri@wmchealth.orgBackground: Cerebrospinal fluid (CSF) pressure measurement is routinely performed via a conventional water column manometer. There is increasing interest in using a digital manometer in measuring CSF pressures. The aim of this study is to compare column and digital manometers, in addition to measuring time to acquire the pressure readings.Research design and methods: This prospective study included 27 patients who were referred for a fluoroscopically guided lumbar puncture. Opening pressure and closing pressure measurements were done with a digital manometer and then a traditional water column manometer. The time to obtain each pressure measurement was also recorded and compared.Results: Mean time to obtain pressure reading was significantly lower in the digital manometer group when compared to the water column manometer group (8.1 seconds vs. 42.2 seconds, P<0.05 for opening pressure and 8.92 seconds vs. 45.15 seconds, P<0.05 for closing pressure). Correlation between the opening pressure measurements (Pearson coefficient r= 0.98) and closing pressure (Pearson coefficient r= 0.89) was strong. However, the digital manometer reading consistently read higher.Conclusion: Digital manometry during an LP yielded is faster however there might be a clinical difference between the devices. Clinicians must be careful in using the device across all cases.Keywords: lumbar puncture, opening pressure, closing pressure, IIH, idiopathic intracranial hypertension, normal pressure hydrocephalus, digital manometerSekhri NKParikh SWeber GMDove Medical Pressarticle• lumbar puncture • opening pressure • closing pressure • iih • idiopathic intracranial hypertension • normal pressure hydrocephalus • digital manometer • water column manometerMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 12, Pp 451-458 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	• lumbar puncture • opening pressure • closing pressure • iih • idiopathic intracranial hypertension • normal pressure hydrocephalus • digital manometer • water column manometer Medical technology R855-855.5
spellingShingle	• lumbar puncture • opening pressure • closing pressure • iih • idiopathic intracranial hypertension • normal pressure hydrocephalus • digital manometer • water column manometer Medical technology R855-855.5 Sekhri NK Parikh S Weber GM Comparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture
description	Nitin K Sekhri,1,2 Shalvi Parikh,1 Garret M Weber1,2 1Department of Anesthesiology, Westchester Medical Center, Valhalla, New York, USA; 2Department of Anesthesiology, New York Medical College, Valhalla, New York, USACorrespondence: Nitin K SekhriDepartment of Anesthesiology, Westchester Medical Center, 100 Woods Road, Macy Suite W228, Valhalla, NY 10595, USATel +1 9144937693Fax +1 9144937927Email Nitin.Sekhri@wmchealth.orgBackground: Cerebrospinal fluid (CSF) pressure measurement is routinely performed via a conventional water column manometer. There is increasing interest in using a digital manometer in measuring CSF pressures. The aim of this study is to compare column and digital manometers, in addition to measuring time to acquire the pressure readings.Research design and methods: This prospective study included 27 patients who were referred for a fluoroscopically guided lumbar puncture. Opening pressure and closing pressure measurements were done with a digital manometer and then a traditional water column manometer. The time to obtain each pressure measurement was also recorded and compared.Results: Mean time to obtain pressure reading was significantly lower in the digital manometer group when compared to the water column manometer group (8.1 seconds vs. 42.2 seconds, P<0.05 for opening pressure and 8.92 seconds vs. 45.15 seconds, P<0.05 for closing pressure). Correlation between the opening pressure measurements (Pearson coefficient r= 0.98) and closing pressure (Pearson coefficient r= 0.89) was strong. However, the digital manometer reading consistently read higher.Conclusion: Digital manometry during an LP yielded is faster however there might be a clinical difference between the devices. Clinicians must be careful in using the device across all cases.Keywords: lumbar puncture, opening pressure, closing pressure, IIH, idiopathic intracranial hypertension, normal pressure hydrocephalus, digital manometer
format	article
author	Sekhri NK Parikh S Weber GM
author_facet	Sekhri NK Parikh S Weber GM
author_sort	Sekhri NK
title	Comparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture
title_short	Comparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture
title_full	Comparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture
title_fullStr	Comparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture
title_full_unstemmed	Comparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture
title_sort	comparison of digital manometer and water column manometer pressures measurements during lumbar puncture
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/2e95a702076244c1a25f78a44d35f121
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Comparison Of Digital Manometer And Water Column Manometer Pressures Measurements During Lumbar Puncture

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