In session I you have learnt the anesthetic management of emergency patient with emphasis on cardiovascular and air way maintenance in full stomach consideration. Acute abdomen among it intestinal obstruction, appendicitis and peritonitis are common problems in our country which are managed surgically on urgent bases. These emergency surgical procedures came to us with full stomach which is the cause of aspiration, hypoxia and death. Most of these patients are coming with hypovolemia therefore; preoperative resuscitation is part of the general and anesthetic management. Outcome depends on preoperative optimization of cardiovascular status. In this session you will learn to acquire knowledge, appropriate skill and right attitude to manage patient with acute surgical abdomen which is common and challenging anesthetic practice especially in primary hospital.