Temporary abdominal closure using an i.v. bag silo for severe trauma.

Abstract:

:Patients with severe abdominal trauma injuries can have improved outcomes if a priority-oriented approach is taken to surgical intervention. This includes temporary abdominal closure and planned reoperation to complete complex, lengthy procedures when the patient is stabilized. Temporary abdominal closure can be achieved safely and cost-effectively by using a presterilized 3-liter cystoscopy fluid i.v. bag. This article discusses the rationale for temporary abdominal closure and planned reoperation, physiologic considerations in abdominal compartment syndrome (ACS), abdominal injuries or conditions leading to ACS, and manifestations of ACS. It compares and contrasts various materials used for temporary abdominal closure, illustrates bag preparation and silo application and removal, and analyzes complex intraoperative and postoperative nursing activities.

journal_name

AORN J

journal_title

AORN journal

authors

Fox VJ,Miller J,Nix AM

doi

10.1016/s0001-2092(06)62464-2

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

530-5, 537, 539-41

issue

3

eissn

0001-2092

issn

1878-0369

pii

S0001-2092(06)62464-2

journal_volume

69

pub_type

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