Nursing care for raised intra-abdominal pressure and abdominal decompression in the critically ill

Cuthbertson, S.

doi:10.1054/iccn.2000.1485

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Specific nursing management is focused on assessing organ function, pain management, vital signs, perfusion to the lower extremities, assessment of wound drainage and output, ongoing assessment for reoccurrence of IAH or ACS and provision of support to patients and their families [6,42,43]. …”

Section: Resultsmentioning

confidence: 99%

“…Pharmacological support for patients with IAH or ACS is multi-faceted and entails active and precise fluid resuscitation to maintain adequate circulating volume without fluid overloading, medications to support cardiac output in the event of decompensation and antibiotics to treat infections [6,42,46-48]. In the context of a critical illness, technical support involves ventilator support, continuous renal replacement therapy (CRRT), invasive cardiac monitoring, arterial blood gas interpretation and intervention, blood glucose monitoring and treatment of electrolyte disturbances [6,42,49]. …”

Section: Resultsmentioning

confidence: 99%

“…The role of the nurse is to assess, interpret and titrate therapy according to the patients’ organ function [6,42]. Nursing care of the patient with an open abdomen involves the management of complex wounds, negative pressure systems, assessment of vascular supply to the wound, wound drainage, dressing integrity, patient positioning, and assessing for recurrence of ACS [6,42].…”

Section: Resultsmentioning

confidence: 99%

“…Nursing care of the patient with an open abdomen involves the management of complex wounds, negative pressure systems, assessment of vascular supply to the wound, wound drainage, dressing integrity, patient positioning, and assessing for recurrence of ACS [6,42]. Unless contraindicated, nasogastric feeding should be considered to optimise gastrointestinal function [60,61].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Management of intra-abdominal hypertension and abdominal compartment syndrome: a review

Hunt

Frost

Hillman

et al. 2014

J Trauma Manage Outcomes

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Patients in the intensive care unit (ICU) are at risk of developing of intra abdominal hypertension (IAH) and abdominal compartment syndrome (ACS).Aim: This review seeks to define IAH and ACS, identify the aetiology and presentation of IAH and ACS, identify IAP measurement techniques, identify current management and discuss the implications of IAH and ACS for nursing practice. A search of the electronic databases was supervised by a health librarian. The electronic data bases Cumulative Index of Nursing and Allied Health Literature (CINAHL); Medline, EMBASE, and the World Wide Web was undertaken from 1996- January 2011 using MeSH and key words which included but not limited to: abdominal compartment syndrome, intra -abdominal hypertension, intra-abdominal pressure in adult populations met the search criteria and were reviewed by three authors using a critical appraisal tool. Data derived from the retrieved material are discussed under the following themes: (1) etiology of intra-abdominal hypertension; (2) strategies for measuring intra-abdominal pressure (3) the manifestation of abdominal compartment syndrome; and (4) the importance of nursing assessment, observation and interventions. Intra-abdominal pressure (IAP) and abdominal compartment syndrome (ACS) have the potential to alter organ perfusion and compromise organ function.

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Section: Resultsmentioning

confidence: 99%