Effect of Supine versus Right Lateral Position on Intra-Abdominal Pressure Measurements and Respiratory Dynamics for Critically Ill Patients | ||
| Tanta Scientific Nursing Journal | ||
| Volume 39, Issue 4, November 2025 PDF (978.6 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2025.464021 | ||
| Authors | ||
| Sheren Mohammed Abdelatief Gad Diab1; Yasmeen Mahmoud Elsaeid Abo Hemeda2; Sabry Mohamed Amin3; Rokia Ibrahim EL Nagar4 | ||
| 1Assistance Proffessor of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 22Master Students of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt. 3Demonstrator of Critical Care and Emergency Nursing, Faculty of Nursing, Kafr El-Sheikh University, Egypt | ||
| 34Professor of Anesthesia, Surgical Intensive Unit and Pain Therapy, Faculty of Medicine, Tanta University, Egypt | ||
| 45Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| Abstract | ||
| Background: Intra-abdominal pressure measurement (IAP) is a critical hemodynamic assessment used in the intensive care unit (ICU) to identify patients at risk for intra-abdominal hypertension and subsequent abdominal compartment syndrome. Aim: Assess the effect of supine versus right lateral position on intra-abdominal pressure measurements and respiratory dynamics for critically ill patients. Design & Setting: Quasi-experimental research design was carried out in the Surgical Intensive Care Unit of Emergency Tanta University Hospitals which is affiliated to the Ministry of Higher Education and Scientific Research. Subjects: A purposive sample of sixty critically ill patients ranging in age from 21 to 60 years. Tools: Three tools were utilized Tool (I): Critically Ill Patients Assessment Tool: It included 3 parts as the following: Part (a): Patients’ Demographic Characteristics, Part (b): Patients’ Clinical Data, and Part (c): Patients' Hemodynamic Parameters, Tool (II): Intra-abdominal Pressure Measurements Recording Sheet, and Tool (III): Respiratory Dynamics Assessment Sheet. Results: No a statistically significant difference regarding Intra-abdominal pressure measurements when the head of the bed (HOB) angle had been changed from 0° to 15° in supine position and right lateral position where P > 0.05. Moreover, lung compliance negatively correlated with IAP with highly statistically significant differences where P<0.01. Meanwhile, airway resistance, respiratory rate & BMI positively correlated with IAP with highly statistically significant differences where P= 0.000. Conclusions: There were no significant differences between IAP measurements in the supine position versus right lateral position. Recommendations: It can be recommended that further studies are needed to evaluate the various methods of IAP measurements, and the study should be replicated on large probability sample on different setting to generalize results. | ||
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