Abdominal Compartment Syndrome in Adult Trauma Patients

      Highlights

      • Abdominal compartment syndrome is often easily overlooked while an adult trauma patient is being stabilized.
      • Frequent monitoring of intra-abdominal pressure to avoid intra-abdominal hypertension holds enormous significance in the management of abdominal compartment syndrome.
      • Depending on the severity and the time of the symptoms recognized by the provider, the patient’s mortality rate is determined.
      • Some cases of abdominal compartment syndrome may be managed conservatively, whereas others require immediate aggressive treatment as determined by collateral organ dysfunction.
      • Recognizing early signs and symptoms can ultimately help the patient with abdominal compartment syndrome evade the life-threatening decompressive laparotomy.

      Abstract

      Abdominal compartment syndrome is often easily overlooked while an adult trauma patient is being stabilized. It demands meticulous physical examination by the provider. The patient’s mortality rate is determined by the severity and time of the symptoms recognized by the provider. Intra-abdominal hypertension (measured by intra-abdominal pressure) and abdominal compartment syndrome are established causes of death among critically ill patients. Therefore, recognizing early signs and symptoms in an adult trauma patient can aid the provider in deciding the appropriate course of treatment, ultimately evading the life-threatening decompressive laparotomy.

      Keywords

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      Biography

      All authors are at California State University, Los Angeles. Lillian Ghosh, MSN, RN, is a graduate of the Adult Gerontology Acute Care Nurse Practitioner Program, and can be contacted at [email protected] . Raymund Gantioque, DNP, ACNP-BC is an assistant professor and coordinator, Adult Gerontology Acute Care Nurse Practitioner Program. Cinthya Sotelo, DNP, FNP-C, ENP-C is an associate professor and director, Nurse Practitioner Programs and coordinator, Family Nurse Practitioner Program.