The document provides recommendations from an international conference of experts on intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). It recommends screening ICU patients for IAH/ACS risk factors and monitoring intra-abdominal pressure if risk factors are present. Serial measurements are necessary to guide management and prevent organ dysfunction. Medical and surgical interventions are outlined to treat IAH and ACS depending on severity, including maintaining adequate abdominal perfusion pressure. Further research is still needed to clarify unanswered questions.