THE EFFECT OF BODY POSITION IN CRITICAL ILL PATIENTS ON THE DEVELOPMENT OF INTRA ABDOMINAL HYPERTENSION AND ABDOMINAL COMPARTMENT SYNDROME
Maria Kirketsou, Georgia Toulia, Dimitris Papageorgiou, Antonia Kalogianni
Saturday, July 1, 2023
Publication year:
2023
Authors:
- Kirketsou Maria , RN, MSc, PhD ©, G.H.A. “GEORGIOS GENNIMATAS”, Nursing Department, University of West Attica, Athens, Greece
- Toulia Georgia, Επίκουρη Καθηγήτρια, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής
- Papageorgiou Dimitris, 2nd Department of Nursing, Technological Eductional Institute of Athens
- Kalogianni Antonia, Associate Professor,Department of Nursing,University of West Attica Greece
Keywords index:
- Intraabdominal hypertension
- abdominal compartment syndrome
- body position
- supinesemirecumbent position
- Intensive Care Unit
- head of bed elevation
Pages: 302-312
Abstract:
Introduction: Scientific studies report that critical ill patients in Intensive Care Units develop intra abdominal hypertension (IAH)
and abdominal compartment syndrome (ACS), with a high risk of association with new organ dysfunction and mortality. In 2004 the
World Society of Abdominal Compartment Syndrome recommended the measurement of intra abdominal pressure (IAP) in completely
supine position. To avoid the development of Ventilator Associated Pneumonia (VAP), patients should be placed in supine position
with the head of bed elevated, at least 300 above the horizontal plane. Aim: The aim of study was to investigate the effect of body
position on the development of IAH. Methodology: A literature review was conducted in Pub Μed and in the National Archive of
Greek Theses database. The research studies that were included had been investigated the effect of body position on the development
of IAH in ICU patients and were published in Greek, English and Spanish language during the period 2010-2023. Results: The
main result of all studies was the increase of IAP when the head of bed was elevated from horizontal level. The increase of IAP
values from 00 to 15o was appeared approximately 2mmHg, from 15o to 30o over 2mmHg and from 30o to 450 2-4,5mmHg. According
to literature is emphasized that IAP affects the intra-abdominal pressure, the glomerular filtration rate and the inspiratory-expiratory
volumes. Conclusion: Elevation of the upper part of the body is accompanied by an increase in intra-abdominal pressure. In intubated
patients, perhaps IAP should be measured in the recommended position for VAP prevention than horizontal position.
