Options | Evacuation of intraluminal contents | Evacuation of intra-abdominal space occupying lesions | Improvement of abdominal wall compliance | Optimization of fluid administration | Optimization of abdominal (APP) and systemic perfusion |
---|---|---|---|---|---|
Medical, non-invasive options | Gastric/rectal tube Diet | Â | Analgetics and sedatives | Modest fluid administration | Goal-directed fluid administration |
 | Prokinetics |  | Positioning | Diuretics | Pressors |
 | Fasting |  | Muscle relaxants |  | Inotropes |
Interventional, minimal-invasive options | Gastric decompression | Paracentesis | Â | Continuous venous hemofiltration | Â |
 | Colonoscopic decompression | Percutaneous catheter drainage |  |  |  |
Surgical, invasive options | Â | Decompressive laparotomy | Escharatomy/fasciotomy | Â | Laparostomy (TAC) |