The pressure profile test is more sensitive and specific than Palmer's test in predicting correct placement of the Veress needle. (Record no. 75797)

MARC details
000 -LEADER
fixed length control field 05700cam a2200241 4500
001 - CONTROL NUMBER
control field NMDX6640
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2010 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 03012115
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Yoong, W.
240 ## - UNIFORM TITLE
Uniform title <a href="European journal of obstetrics, gynecology, and reproductive biology">European journal of obstetrics, gynecology, and reproductive biology</a>
245 ## - TITLE STATEMENT
Title The pressure profile test is more sensitive and specific than Palmer's test in predicting correct placement of the Veress needle.
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2010
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note 152
520 ## - SUMMARY, ETC.
Summary, etc. &lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;&lt;strong&gt;OBJECTIVES:&lt;/strong&gt; Although the majority of laparoscopic complications result from improper&amp;nbsp;&lt;span class="highlight"&gt;Veress&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;needle&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;placement&lt;/span&gt;, the safety tests commonly used to determine&amp;nbsp;&lt;span class="highlight"&gt;correct&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;placement&lt;/span&gt;&amp;nbsp;are not always reliable. A prospective observational study (Canadian Task Force Classification II-2) was set up to determine the reliability of&amp;nbsp;&lt;span class="highlight"&gt;Palmer's&lt;/span&gt;&amp;nbsp;and&amp;nbsp;&lt;span class="highlight"&gt;pressure&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;profile&lt;/span&gt;&amp;nbsp;tests in&amp;nbsp;&lt;span class="highlight"&gt;predicting&lt;/span&gt;&amp;nbsp;the&lt;span class="highlight"&gt;correct&lt;/span&gt;&amp;nbsp;intraperitoneal&amp;nbsp;&lt;span class="highlight"&gt;placement&lt;/span&gt;&amp;nbsp;of the&amp;nbsp;&lt;span class="highlight"&gt;Veress&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;needle&lt;/span&gt;&amp;nbsp;prior to insufflation.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;STUDY DESIGN:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;One hundred consecutive women undergoing gynaecological laparoscopic surgery between September 2006 and June 2007 were recruited. The operating surgeons conducted&amp;nbsp;&lt;span class="highlight"&gt;Palmer's&lt;/span&gt;&amp;nbsp;and&amp;nbsp;&lt;span class="highlight"&gt;pressure&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;profile&lt;/span&gt;&amp;nbsp;tests in all 100 cases and recorded the ease with which these tests were performed and whether or not they felt that the&amp;nbsp;&lt;span class="highlight"&gt;needle&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;placement&lt;/span&gt;&amp;nbsp;was&amp;nbsp;&lt;span class="highlight"&gt;correct&lt;/span&gt;. They were also asked to comment on the saline drop&amp;nbsp;&lt;span class="highlight"&gt;test&lt;/span&gt;&amp;nbsp;and double click acoustic&amp;nbsp;&lt;span class="highlight"&gt;test&lt;/span&gt;&amp;nbsp;if appropriate.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;RESULTS:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;The overall sensitivity of&amp;nbsp;&lt;span class="highlight"&gt;Palmer's&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;test&lt;/span&gt;&amp;nbsp;was 0.92 while its specificity was 0.5. The overall sensitivity and specificity of the&amp;nbsp;&lt;span class="highlight"&gt;pressure&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;profile&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;test&lt;/span&gt;&amp;nbsp;were 0.99 and 0.75, respectively, making this a&amp;nbsp;&lt;span class="highlight"&gt;more&lt;/span&gt;&amp;nbsp;reliable&amp;nbsp;&lt;span class="highlight"&gt;test&lt;/span&gt;&amp;nbsp;for&amp;nbsp;&lt;span class="highlight"&gt;predicting&lt;/span&gt;&amp;nbsp;intraperitoneal&lt;span class="highlight"&gt;placement&lt;/span&gt;&amp;nbsp;of the&amp;nbsp;&lt;span class="highlight"&gt;Veress&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;needle&lt;/span&gt;.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;CONCLUSIONS:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;The&amp;nbsp;&lt;span class="highlight"&gt;pressure&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;profile&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;test&lt;/span&gt;&amp;nbsp;was a&amp;nbsp;&lt;span class="highlight"&gt;more&lt;/span&gt;&amp;nbsp;reliable guide to confirming the&amp;nbsp;&lt;span class="highlight"&gt;correct&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;placement&lt;/span&gt;&amp;nbsp;of the&amp;nbsp;&lt;span class="highlight"&gt;Veress&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;needle&lt;/span&gt;as a negative&amp;nbsp;&lt;span class="highlight"&gt;test&lt;/span&gt;&amp;nbsp;is&amp;nbsp;&lt;span class="highlight"&gt;more&lt;/span&gt;&amp;nbsp;likely to indicate failure to achieve intraperitoneal&amp;nbsp;&lt;span class="highlight"&gt;placement&lt;/span&gt;.&lt;/span&gt;&lt;/p&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Saxena,S.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Mittal, M.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Stavroulis, A.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Ogbodo, E.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Damodaram, M.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://www.ncbi.nlm.nih.gov/pubmed/20728980">http://www.ncbi.nlm.nih.gov/pubmed/20728980</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://ferriman.wufoo.com/forms/r7x3a7">http://ferriman.wufoo.com/forms/r7x3a7</a>
Holdings
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