5. We recommend decompressive laparotomy in cases of overt ACS compared to strategies that do not use
decompressive laparotomy in critically ill adults with ACS [GRADE 1D]
6. We recommend that among ICU patients with open abdominal wounds, conscious and/or protocolized efforts
be made to obtain an early or at least same-hospital-stay abdominal fascial closure [GRADE 1D]
7. We recommend that among critically ill/injured patients with open abdominal wounds, strategies utilizing
negative pressure wound therapy should be used versus not [GRADE 1C]