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• These patients are often critically ill and require ventilatory support and aggressive fluid resuscitation. Use of vasopressors may increase visceral ischemia . Maintain normothermia.
• Control arrhythmias and treat tachycardia.
• Maintain adequate blood pressure.
• Monitor fluids and electrolytes including lactate levels.
• Monitor for signs of compartment syndrome which may occur if the abdomen has been closed primarily.
• Deterioration of the patient’s condition may be due to multisystem failure as well as graft thrombosis.