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A critical care nurse’s guide to intra abdominal hypertension and abdominal compartment syndrome


Spencer, P and Kinsman, L and Fuzzard, K, A critical care nurse's guide to intra abdominal hypertension and abdominal compartment syndrome, Australian Critical Care, 21, (1) pp. 18 28. ISSN 1036-7314 (2008) [Refereed Article]

Copyright Statement

Copyright 2007 Crown Copyright

DOI: doi:10.1016/j.aucc.2007.10.005


Abdominal compartment syndrome (ACS) is a life-threatening syndrome that is increasing in incidence amongst critically ill patients. A 2005 survey of critical care nurses revealed that there were recognised knowledge deficits of ACS amongst surveyed nurses. The purpose of this review is to inform critical care nurses about ACS and its antecedent, intra abdominal hypertension (IAH). Detection techniques, causes, clinical manifestations and pathophysiology of IAH and ACS will be outlined and medical and nursing management will be reviewed.

The incidence of ACS is reported to be up to 35% in the intensive care population with reduced survival when compared to other intensive care patients. Physiological changes that occur with ACS include compromise to the cardiovascular, respiratory, renal and neurological systems and development of metabolic acidosis. Management may incorporate percutaneous drainage of ascitic fluid, use of muscle relaxants, prone positioning and surgical intervention to open, decompress and gradually close the abdomen. Throughout this care the critical care nurse should ensure accurate monitoring of organ function, assessment for recurrence of ACS as well as the amount and type of drainage, appropriate wound management and provision of physical and psychosocial support of the patient. These aspects of care have the potential to impact significantly on patient outcome.

Item Details

Item Type:Refereed Article
Keywords:intra abdominal pressure, hypertension, abdominal compartment syndrome, critical care, nursing care
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Kinsman, L (Professor Leigh Kinsman)
ID Code:97746
Year Published:2008
Deposited By:Health Sciences B
Deposited On:2015-01-13
Last Modified:2015-04-13

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