Tensely distended abdomen
Elevated intraabdominal pressure
Severe abdominal pain
Severe pain
Abdominal distension
Tense abdomen
Increased respiratory effort
Progressive oliguria
Hypotension
Critically ill
Signs of new respiratory renal or vascular organ failure
Unable to communicate
Increased ventilatory requirements
Abdominal bloating
Abdominal pain
Abdominal tenderness
Acute pulmonary decompensation
Dyspnea
Elevated jugular venous pressure
Evidence of hypoperfusion