1. We suggest that clinicians ensure that critically ill or injured patients receive optimal pain and
anxiety relief [GRADE 2D]
2. We suggest brief trials of neuromuscular blockade as a temporizing measure in the treatment of
IAH/ACS [GRADE 2D]
3. We suggest that the potential contribution of body position to elevated IAP be considered among patients
with, or at risk of, IAH or ACS [GRADE 2D]
4. We suggest liberal use of enteral decompression with nasogastric or rectal tubes when the stomach or colon
are dilated in the presence of IAH/ACS [GRADE 1D]
5. We suggest that neostigmine be used for the treatment of established colonic ileus not responding to other
simple measures and associated with IAH [GRADE 2D]