德国麻醉师和外科医生对腹腔间隔室综合征的认识和处理：一项全国性调查。

Recognition and management of abdominal compartment syndrome among German anesthetists and surgeons: a national survey.

机构信息

Department of Pediatric Cardiology and Intensive Care, University Children's Hospital, Hannover Medical School (MHH), OE 6730, Carl-Neuberg St, 1, 30625 Hannover, Germany.

出版信息

Ann Intensive Care. 2012 Jul 5;2 Suppl 1(Suppl 1):S7. doi: 10.1186/2110-5820-2-S1-S7.

DOI:10.1186/2110-5820-2-S1-S7

PMID:22873423

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3390300/

Abstract

BACKGROUND

Abdominal compartment syndrome (ACS) is a life threatening condition that may affect any critically ill patient. Little is known about the recognition and management of ACS in Germany.

METHODS

A questionnaire was mailed to departments of surgery and anesthesia from German hospitals with more than 450 beds.

RESULTS

Replies (113) were received from 222 eligible hospitals (51%). Most respondents (95%) indicated that ACS plays a role in their clinical practice. Intra-abdominal pressure (IAP) is not measured at all by 26%, while it is routinely done by 30%. IAP is mostly (94%) assessed via the intra-vesical route. Of the respondents, 41% only measure IAP in patients expected to develop ACS; 64% states that a simpler, more standardized application of IAP measurement would lead to increased use in daily clinical practice.

CONCLUSIONS

German anesthesiologists and surgeons are familiar with ACS. However, approximately one fourth never measures IAP, and there is considerable uncertainty regarding which patients are at risk as well as how often IAP should be measured in them.

摘要

背景

腹腔间隔室综合征（ACS）是一种危及生命的病症，可能影响任何重症患者。目前对于德国 ACS 的识别和管理知之甚少。

方法

向拥有 450 张以上床位的德国医院的外科和麻醉科邮寄问卷。

结果

从 222 家符合条件的医院中收到了 113 份回复（51%）。大多数受访者（95%）表示 ACS 在他们的临床实践中发挥作用。26%的医院根本不测量腹腔内压（IAP），而 30%的医院常规测量。IAP 主要通过膀胱内途径进行评估（94%）。受访者中，41%仅在预计会发生 ACS 的患者中测量 IAP；64%表示，更简单、更标准化的 IAP 测量方法将导致其在日常临床实践中更广泛的应用。