Measuring intrabladder pressure with the head of the bed elevated 30°: evidence to support a change in practice.

Background: A 30° head-of-bed elevation is recommended for most critically ill patients. Measuring intrabladder pressure with the patient in this position is controversial.

Objective: To assess the feasibility of measuring intrabladder pressure with a 30° head-of-bed elevation.

Reliability of intrabladder pressure measurement in intensive care.

Background: The reliability of intrabladder pressure measurements obtained in nonsupine patients is unknown.

Objectives: To investigate the reliability of measurements of intrabladder pressure obtained with 30 degrees head-of-bed elevation.

Methods: With patients supine, 30 degrees head-of-bed elevation, and instillation of 0 and 25 mL physiological saline, intrabladder pressure was measured in 10 patients: twice by one nurse to assess intraobserver reliability and once by a different nurse to assess interobserver reliability.

Nutritional concerns related to Roux-en-Y gastric bypass: what every clinician needs to know.

Weight loss surgery, particularly the Roux-en-Y gastric bypass (REYGB), has become a popular treatment strategy for obesity. Often the only measure of success is the amount of weight lost following surgery. Unfortunately the nutritional adequacy of the postoperative diet has frequently been overlooked, and in the months to years that follow, nutritional deficiencies have become apparent, including protein-calorie malnutrition and various vitamin and mineral deficiencies contributing to medical illnesses and limiting optimal health.