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Invited Critique
Aug 2011

Abdominal Compartment Syndrome: Going, Going, GoneComment on “Mission to Eliminate Postinjury Abdominal Compartment Syndrome”

Arch Surg. 2011;146(8):943. doi:10.1001/archsurg.2011.74

The article by Balogh et al is important in that it shows that intra-abdominal pressure following significant resuscitation seems to be decreasing in incidence. It is rarely associated with abdominal compartment syndrome. Although severe shock and trauma are still occasionally accompanied by intra-abdominal hypertension, there is little to distinguish between patients that develop intra-abdominal hypertension and those who do not. Although all of this is true, it is most likely owing to the change in resuscitation strategy that this group and others have adopted.