Intra-abdominal hypertension has a prevalence of at least 50% in the critically ill population and has been identified as an independent risk factor for death. Yet, many of the members of the critical care team do not assess for intra-abdominal hypertension and are unaware of the consequences of untreated intra-abdominal hypertension. These consequences can be abdominal compartment syndrome, multisystem organ failure, and death. This article provides an overview of the pathophysiology of intra-abdominal hypertension and abdominal compartment syndrome. In addition, the evidence-based definitions, guidelines, and recommendations of the World Society of the Abdominal Compartment Syndrome are presented.
Cover Article| February 01 2012
Intra-abdominal Hypertension and Abdominal Compartment Syndrome: A Comprehensive Overview
Rosemary Koehl Lee, DNP, ARNP, CNS, ACNP-BC, CCNS, CCRN
Rosemary Koehl Lee is a clinical nurse specialist for the critical care and progressive care departments at Homestead Hospital, Homestead, Florida. She is also an adjunct faculty member at Barry University in Miami Shores, Florida.
Corresponding author: Rosemary K. Lee, Critical Care Dept, Homestead Hospital, 975 Baptist Way, Homestead, FL 33033 (e-mail: firstname.lastname@example.org).
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Crit Care Nurse (2012) 32 (1): 19-31.
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Rosemary Koehl Lee; Intra-abdominal Hypertension and Abdominal Compartment Syndrome: A Comprehensive Overview. Crit Care Nurse 1 February 2012; 32 (1): 19–31. doi: https://doi.org/10.4037/ccn2012662
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