Abstract
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 ma...Continue Reading
References
Jan 1, 1984·Annals of Surgery·I L KronS P Nolan
Jan 1, 1997·American Journal of Surgery·J M Burch
Aug 1, 1997·The Surgical Clinics of North America·A Hirshberg, R Walden
Dec 31, 1997·American Journal of Surgery·D R MeldrumJ M Burch
May 29, 1999·AACN Clinical Issues·Y Lozen
Jul 13, 2000·Critical Care Medicine·W ErtelO Trentz
Oct 19, 2000·The Journal of Trauma·M L CheathamE F Block
Mar 10, 2001·The Journal of Trauma·M A FuscoM C Chang
Sep 26, 2001·Current Opinion in Critical Care·J Morken, M A West
Feb 13, 2002·American Journal of Surgery·G B GarnerF A Moore
Apr 16, 2002·The British Journal of Surgery·A TiwariG Hamilton
Apr 18, 2002·AORN Journal·V J FoxA M Nix
Sep 26, 2002·World Journal of Surgery·Michael SugrueStephen A Deane
Nov 7, 2002·Archives of Surgery·Vicente H GraciasC William Schwab
Mar 27, 2003·Current Opinion in Critical Care·John McNelisH Hank Simms
Nov 20, 2003·Shock·Zsolt BaloghFrederick A Moore
Feb 13, 2004·The Journal of Trauma·Michael L CheathamErnest F J Block
Apr 13, 2004·Current Opinion in Critical Care·Manu L N G Malbrain
Jun 15, 2004·Lancet·Frederick A MooreErnest E Moore
Aug 12, 2004·Nursing Management·John J Gallagher
Oct 13, 2006·The Journal of Trauma·Erica SuttonThomas M Scalea
Mar 23, 2007·Intensive Care Medicine·Michael L CheathamAlexander Wilmer
Apr 7, 2007·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Donnalee Jerome
Citations
Feb 7, 2014·Journal of Trauma Management & Outcomes·Leanne HuntPatricia M Davidson
Mar 12, 2009·Current Opinion in Critical Care·Michael Lee Cheatham
Nov 17, 2010·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Timothy Royer
Feb 2, 2020·Critical Care Nurse·Rosemary K LeeLeanne Hunt