Affiliation:
1. ZhiRu Li is a nurse and graduate student, Nursing Department, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
2. HuaFen Wang is the Director of the Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine.
3. FangYan Lu is the Deputy Director of the Department of Nursing and the Head Nurse of hepatobiliary and pancreatic surgery, First Affiliated Hospital, Zhejiang University School of Medicine.
Abstract
Background
Intra-abdominal hypertension is a comorbid condition in critically ill children, is an independent predictor of mortality, and has harmful effects on multiple organ systems through renal, pulmonary or hemodynamic damage. Intra-abdominal pressure monitoring is widely used in clinical practice because it is a safe, accurate, inexpensive, and rapid method for the clinical diagnosis of intra-abdominal hypertension.
Objective
To improve pediatric critical care nurses’ understanding of and ability to perform intra-abdominal pressure monitoring and provide a reference for standardizing intra-abdominal pressure monitoring in clinical practice.
Methods
A literature review was performed using the following keywords: intra-abdominal pressure, bladder pressure, vesicular pressure, measurement, monitoring, critically ill children, pediatric intensive care, pediatric, and children. Four hundred fifty-four articles were initially identified and screened; 24 were included.
Results
The monitoring and management of intra-abdominal pressure should include appropriate and clinically proven intra-abdominal pressure measurement techniques, appropriate patients, the proper frequency of measurement, and a repeatable intra-abdominal pressure measurement method.
Conclusions
Knowledge of intra-abdominal pressure monitoring in critically ill children enhances the ability of nurses in clinical practice to accurately measure intra-abdominal pressure to improve the timeliness and accuracy of clinical identification of intra-abdominal hypertension and guide decompression interventions.
Subject
Critical Care Nursing,General Medicine
Cited by
1 articles.
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