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February 1, 2004

Supranormal Trauma Resuscitation and Abdominal Compartment Syndrome—Reply

Arch Surg. 2004;139(2):226-227. doi:10.1001/archsurg.139.2.226

In reply

We are honored that Dr Ivatury has commented on our work.1 His seminal observations related to ACS are well known to our group, and we referenced 2 of his articles. We believe that ACS is in part an iatrogenic complication of current management of traumatic shock (ie, damage-control surgery combined with goal-oriented resuscitation in the intensive care unit). With ongoing analysis of severely injured patients who require aggressive resuscitation, our concepts of ACS pathogenesis have evolved.17

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