Table 6.

Opinions of the Pediatric Guidelines Sub-Committee regarding the suitability of the WSACS management recommendations for the care of children

Statements accepted as appropriate
1.	Measure IAP when any known risk factor is present in a critically ill or injured patient
2.	Protocolized monitoring and management of IAP should be utilized when caring for the critically ill or injured
3.	Use percutaneous catheter drainage to remove fluid in those with IAH/ACS when this is technically possible, whether an alternative is doing nothing or decompressive laparotomy
4.	Use decompressive laparotomy in cases of overt ACS
5.	Negative pressure wound therapy should be utilized to facilitate earlier abdominal fascial closure among those with open abdominal wounds
6.	Use a protocol to try to avoid a positive cumulative fluid balance in the critically ill with, or at risk of, IAH
Statements not accepted as appropriate for pediatric care that were not supported for adult care
1.	No recommendation was made regarding the use of the abdominal perfusion pressure as a resuscitation endpoint
2.	No recommendation was made regarding the use of decompressive laparotomy for patients with severe IAH without formal ACS
3.	Biological meshes should not be routinely utilized to facilitate early acute fascial closure
4.	No recommendation could be made to utilize the component separation technique to facilitate earlier acute fascial closure among patients with open abdominal wounds
5.	Use of enhanced ratios of plasma to packed red blood cells during resuscitation from massive hemorrhage
6.	Efforts and/or protocols to obtain early or at least same-hospital-stay fascial closure

ACS abdominal compartment syndrome, IAP intra-abdominal pressure, IAH intra-abdominal hypertension