Snap Shot A 53-year-old women develops hypotension, sinus tachycardia, and oliguria 24 hours after abdominal surgery for cholecystitis. Her skin is cold and clammy. Introduction Most common cause of shock in the first 24 hours after abdominal surgery Presentation Symptoms of shock Evaluation Usually no drop in hematocrit in the first few hours Treatment If all other causes of shock ruled out then bring to OR