SCIENTIFIC ARTICLE Assessment of Intensivists ’ Knowledge on Abdominal Compartment Syndrome

Background and objectives: Early recognition of abdominal compartment syndrome (ACS) is essential, as delay in the diagnosis may induce a negative impact on prognosis. However, there are some evidences suggesting a low level of knowledge concerning ACS in intensive care units (ICU). The aim of this study was to evaluate the intensivist´s knowledge on ACS. Methods: We distributed 49 questionnaires, with 13 multiple choice questions, in seven ICU, which addressed the concept, diagnosis, and man-agement of ACS. Results: Thirty-two questionnaires were answered. Forty-seven percent of respondents have more than 16 years of medical practice and spend more than 50 % of their time in ICU. Although 75 % reported having knowledge of ACS ’ concept, only 34 % had measured intra-abdominal pressure (IAP). The most used method for measurements was urinary catheterization (91%). For 37%, the frequency of measurement should be based on clinical data rather than IAP values. Regarding the indication to IAP monitoring, the choices were performing the measurement after urgent laparotomy (25%), in massive volemic replacement (18%) and in other hazardous conditions (57%). The lack of information about measurement techniques was the main reason for not measuring IAP. Most respondents (90%) suggested the measurement of IAP as a routine in ICU. Conclusion: Intensivists ’ knowledge on ACS was low, as most were not able to measure, interpret the results and recognize important risk fac