Abdominal Compartment Syndrome Algorithm

    Based on Arcieri & Meizoso, J Trauma Acute Care Surg 2025 ('What You Need to Know')

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    A: Critically Ill Patient With Risk Factors for IAH

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    Identify patients at risk for intraabdominal hypertension (IAH). Trauma risk factors: hemorrhagic shock, massive transfusion, large-volume or crystalloid-heavy resuscitation (crystalloid:pRBC ratio > 1.5 doubles ACS risk), damage-control laparotomy, high ISS, burns, hypothermia, and worsening base deficit. Other: pancreatitis, sepsis, cirrhosis with ascites, ileus/gastroparesis, obesity, GI bleeding, vasopressors, and respiratory failure.

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