Early detection of intra-abdominal hypertension is essential to the prevention of abdominal compartment syndrome and requires close surveillance of intra-abdominal hypertension in patients at increased risk. intra-abdominal hypertension measurements are often taken by the bedside nurse, and in some cases, initiation of serial intra-abdominal hypertension monitoring is prompted by critical care nurses.

Measurement of intra-abdominal pressure is simple, inexpensive, safe and accurate method in determining the presence of intra-abdominal hypertension. This measurement can guide patient management. Monitoring intra-abdominal pressure and abdominal per-fusion pressure.

for signs of abdominal compartment syndrome has become an inexpensive and useful diagnostics tool for identifying complications. An integrated approach to screening and monitoring for intra-abdominal hypertension may improve patient outcomes and decrease hospital costs. Due to the high incidence of intra-abdominal hypertension and abdominal compartment syndrome, it is essential for critical care nurses to regularly monitor intra-abdominal pressure and abdominal per-fusion pressure.

Critical care nurses have the ability to identify intra-abdominal hypertension and abdominal compartment syndrome, implement and evaluate management interventions. Nursing practice should be centered on evidence based practice guidelines . Nurses should provide a standard of care in managing patients who are at risk of intra-abdominal hypertension and abdominal compartment syndrome from pre hospital, emergency, operating room and intensive care areas

Inclusion Criteria:

• all nurses that have more than one years experience in the trauma ,general and gastrointestinal ICU

Exclusion Criteria:

• nurses less than one year experience