Clinical Researches
Summary of the best evidence for measuring intra-abdominal pressure in adult emergency and critically ill patients
Yang Hui, Ma Hui, Jiang Di, Cai Hongjuan, Liu Ping, Cai Jing, Xia Ying
Published 2023-02-06
Cite as Chin J Mod Nurs, 2023, 29(4): 458-463. DOI: 10.3760/cma.j.cn115682-20220513-02320
Abstract
ObjectiveTo retrieve, evaluate and integrate the best evidence of the operation related to the measurement of intra-abdominal pressure by bladder pressure sensor in adult emergency and critically ill patients.
MethodsThe "6S" pyramid model was used to retrieve the evidence of internal abdominal pressure measurement at home and abroad, including guidelines, best practices, evidence summary, systematic evaluation, expert consensus and so on. The retrieval time limit was from the establishment of the database to February 12, 2022. Two researchers independently evaluated the quality of the article, extracted data from the included article and graded the evidence according to Joanna Briggs Institute (JBI) evidence pre-grading system (2014 version) .
ResultsA total of 9 articles were included, including 1 clinical decision, 4 guidelines, 1 expert consensus and 3 quasi-experimental studies. A total of 23 pieces of best evidence were summarized from 10 aspects, including starting time, precautions, patient position, elimination of interference factors, infection control, zero calibration and measurement, data reading, monitoring frequency, equipment management, personnel education and training.
ConclusionsThis study integrates the best evidence of the operation related to the measurement of intra-abdominal pressure by bladder pressure sensor in adult emergency and critically ill patients, and provides evidence-based basis for standardizing clinical practice and accurately measuring intra-abdominal pressure in adult emergency and critically ill patients.
Key words:
Adult; Emergency and critically ill patients; Evidence-based nursing; Intra-abdominal pressure; Measurement; Operation
Contributor Information
Yang Hui
Medicine Intensive Care Unit, Chinese Academy of Medical Sciences &
Peking Union Medical College Hospital, Beijing 100730, China
Ma Hui
Medicine Intensive Care Unit, Chinese Academy of Medical Sciences &
Peking Union Medical College Hospital, Beijing 100730, China
Jiang Di
Medicine Intensive Care Unit, Chinese Academy of Medical Sciences &
Peking Union Medical College Hospital, Beijing 100730, China
Cai Hongjuan
Medicine Intensive Care Unit, Chinese Academy of Medical Sciences &
Peking Union Medical College Hospital, Beijing 100730, China
Liu Ping
Medicine Intensive Care Unit, Chinese Academy of Medical Sciences &
Peking Union Medical College Hospital, Beijing 100730, China
Cai Jing
Medicine Intensive Care Unit, Chinese Academy of Medical Sciences &
Peking Union Medical College Hospital, Beijing 100730, China
Xia Ying
Medicine Intensive Care Unit, Chinese Academy of Medical Sciences &
Peking Union Medical College Hospital, Beijing 100730, China