Chart 1. Summary of articles focusing on intensivists’ knowledge of intra-abdominal pressure.
| Objetives | Features | Results |
|---|---|---|
| To investigate IAP and IAH knowledge, recognition and management in Italian ICUs(24) | Type: exploratory-descriptive study | IAP was measured in 51 ICUs. Lack of IAP measurement was due to lack of a specific kit or unawareness of the technique. The intravesical method was the only one employed. Frequency of serial measurements: every 4 hours in the presence of risk factors (64.7%), or in emergency surgical procedures (21.5%) |
| Place: Italy | ||
| Sample: 77 physicians in charge of ICUs | ||
| Instrument: questionnaire comprising 9 close-ended questions | ||
| To assess knowledge of ACS, clinical application of IAP measurement, measurement methods and frequency, and criteria for decompressive laparotomy(25) | Type: exploratory-descriptive study | IAP was measured by 104 interviewees in suspected cases of IAH/ACS (93.9%). The intravesical method was the only one employed. Frequency: 44.2% in the presence of clinical suspicion; 26.9% every 4 to 8 hours; 15.4% every zero to 4 hours; 10.9% every 12 hours; 2.9% once every 24 hours |
| Place: United Kingdom | ||
| Sample: 137 physicians in charge of ICUs | ||
| Sample: 137 physicians in charge of ICUs | ||
| To assess physician's knowledge of ACS and respective management characteristics(15) | Type: exploratory-descriptive study | IAP was measured in patients clinically predisposed to ACS (51.4%) using the intravesical method (97%), with instillation of 60-100mL of fluid (54.3%), at 4-to-8-hour intervals (60%). Methodological issues were among the major doubts reported in questionnaires |
| Place: Brazil | ||
| Sample: 90 physicians working at 10 ICUs in | ||
| Rio de Janeiro | ||
| Instrument: questionnaire comprising 12 close-ended questions | ||
| To determine the current level of understanding and clinical management of IAH/ACS among intensivists working in Chinese hospitals(16) | Type: exploratory-descriptive study | IAP was measured by 75 physicians in suspected cases of IAH (88%); the intravesical method was used (100%) with patients in the supine position (97.3%) and using 50-100 mL of fluid (46.7%); the pubic symphysis was taken as the zero-reference point (68%). Out of 33 physicians not measuring IAP, 36.4% were not able to interpret results and 27.3% had never admitted patients suffering from IAH |
| Place: China | ||
| Sample: 108 physicians | ||
| Instrument: questionnaire comprising 20 close-ended questions |
IAP: intra-abdominal pressure; IAH: intra-abdominal hypertension; ICU: intensive care unit; ACS: abdominal compartment syndrome.