Lee Rosemary K, Gallagher John J, Ejike Janeth Chiaka, Hunt Leanne
Rosemary K. Lee is an acute care nurse practitioner and clinical nurse specialist at Baptist Health South Florida, Coral Gables, Florida.
John J. Gallagher is a clinical nurse specialist and trauma program coordinator, Penn Presbyterian Medical Center, Philadelphia, Pennsylvania.
Crit Care Nurse. 2020 Feb 1;40(1):13-26. doi: 10.4037/ccn2020772.
Intra-abdominal hypertension has been identified as an independent risk factor for death in critically ill patients. Known risk factors for intra-abdominal hypertension indicate that intra-abdominal pressures should be measured and monitored. The Abdominal Compartment Society has identified medical and surgical interventions to relieve intra-abdominal hypertension or to manage the open abdomen if abdominal compartment syndrome occurs. The purpose of this article is to describe assessments and interventions for managing intra-abdominal hypertension and open abdomen that are within the scope of practice for direct-care nurses. These guidelines provide direction to critical care nurses caring for these patients.
腹内高压已被确认为危重症患者死亡的独立危险因素。已知的腹内高压危险因素表明应测量和监测腹内压。腹腔间隔室综合征协会已确定了缓解腹内高压或在发生腹腔间隔室综合征时处理开放性腹腔的内科和外科干预措施。本文的目的是描述直接护理护士执业范围内管理腹内高压和开放性腹腔的评估和干预措施。这些指南为护理这些患者的重症护理护士提供了指导。
