@article{Sheikhi_Heidari_2018, title={Intra-Abdominal Pressure Monitoring By Nurses For Early Detection Of Abdominal Compartment Syndrome And Early Decompressed Laparotomy In Comparison With Need To Laparotomy By Physical Exam: Intra-Abdominal Pressure Monitoring For Early Detection Of Abdominal Compartment Syndrome}, volume={7}, url={http://www.nicpd.ac.in/ojs-/index.php/njirm/article/view/1349}, abstractNote={<p>Background& Objective:Abdominal compartment syndrome is as potentially lethal condition caused by any<br>event that produces intra-abdominal hypertension. The most common cause is blunt abdominal trauma. Increasing<br>intra-abdominal pressure affects much vital body system. Hemodynamic, respiratory, renal and neurological<br>abnormalities are hallmark of ACS. All authors are agreeing that decompression laparotomy is the treatment of<br>choice for the ACS. Nursing care involves vigilant monitoring for early detection including serial measurement of<br>intra-abdominal pressure (from urinary bladder). This study was designed to investigate the comparative effect of<br>measurement of intra-abdominal pressure and physical exam in patient with ACS for refer the patients to operation<br>room. Methodology:In this research ACS was defined as abdominal distention with intra-abdominal pressure ≥15 mm<br>Hg (20cm H2O) accompanied by at least two of the following: oliguria or anuria, hypoxemia and hypotension or<br>shock. When ACS detected by researcher, compared with diagnose of need to laparotomy by physician both timely<br>and numerically.Results:Of 100 patients admitted over 8 months, 28 patients had abdominal compartment<br>syndrome, 21 of this patients refer to operation room by physician. According to numeral comparison between two<br>group not significant (P>.05) but according the time measuring abdominal pressure for detection of need to<br>decompressed laparotomy significantly decreased than physical exam (p<.05).Conclusion:The ACS is a potentially<br>lethal condition occurs in a significant number of severely blunt abdominal trauma patients and it develops quickly.<br>Preventative therapy should be instituted to minimize its development in patients at risk and monitoring of intraabdominal<br>pressure may allow prompt treatment of this condition rather than physical exam.[Heidari MNJIRM 2016;<br>7(2):18-23]</p>}, number={2}, journal={National Journal of Integrated Research in Medicine}, author={Sheikhi, Rahim Ali and Heidari, Mohammad}, year={2018}, month={Feb.}, pages={18–23} }