Which of the following is best treatment for Grade II abdominal hypeension?: (A) Laparotomy, (B) Immediate decompression, (C) Hypovolemic resuscitation, (D) Normovolemic resuscitation
Answer is C. Abdominal compament syndrome grading system Grade Bladder pressure (mm Hg) Clinical features Treatment I 12-15 None Nomovolemic resuscitation II 16-20 Oliguria, Splanchnic hypoperfusion Hypovolemic resuscitation II 21-25 Anuria, increased ventilation pressure Decompression IV >25 Anuria, Increased ventilation pressure & decreased PO2 Emergency re-exploration