Assessment Risk Factors of Abdominal Compartment Syndrome During Resuscitation Phase of Burned Patients

Document Type : Original Article

Authors

1 B.Sc., Nursing Specialist, at Abnoub Secondary Nursing School, Assiut Governorate, Egypt.

2 Professor of plastic surgery of Assiut University hospital Egypt.

3 Assistant professor of critical care nursing, Faculty of Nursing, Assiut University Egypt.

4 Lecturer of critical care Nursing, Faculty of Nursing, Assiut University Egypt

Abstract

Background: Raised Intra-abdominal pressure in patients with severe burns can lead to organ dysfunction and can affect all organ systems due to massive IV fluid resuscitation. The aim of study was assess the risk factors of abdominal compartment syndrome during resuscitation phase of burned patients. Research design: exploratory research design was used to achieve the objectives of the study. Subjects: All available adult burned patients admitted to Burn unit who with (45) patients. Tools: two tool designs us to identify risk factors of abdominal compartment syndrome during resuscitation phase of burned patients, data collected through 6 months. Results: the result show that Vast Majority of patients had flame as a reason of burns with percentage 96.6%. Less than half of patients were at lower and upper limbs burned of body region with percentage40.0%. In addition, result show that the prevalence of Intra-abdominal hypertension in severe burn patients is with percentage 68.8% respectively. The findings of the study revealed that when increase BMI, TBSA and IV fluid increase IAP. Conclusion: Patients with >20% TBSA burned presented a very high prevalence of IAH. Recommendations: The Burns Unit needs to design protocols for screening, monitoring and management of Intra-abdominal hypertension

Keywords

Assiut Scientific Nursing Journal
Volume 6, Issue 15
December 2018
Pages 169-178

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