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Chapter-13 Sepsis and the Anesthesiologist

BOOK TITLE: Yearbook of Anesthesiology-7

Author
1. HM Krishna
2. Herekar Basavaraj
ISBN
9789352702978
DOI
10.5005/jp/books/14141_14
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Kasturba Medical College, Manipal, Karnataka, India, Kasturba Medical College, Manipal, Karnataka, India, hmkrishna20032002@yahoo.com
2. Kasturba Medical College, Manipal, Karnataka, India, herekarbasavaraj@rediffmail.com
Chapter keywords
Sepsis, intensive care unit, hypotension, hypoxemia, anesthesia, postoperative management, organ dysfunction

Abstract

The syndrome of sepsis accounts for high incidence of death and intensive care unit (ICU) admissions worldwide and the incidence is increasing. Sepsis is different from infection because the host response, in sepsis, is uncontrolled and lacks the regulatory mechanism. It is also characterized by organ dysfunction. This chapter covers the surgery in a patient with sepsis, anesthetic concerns in a septic patient, preoperative assessment, preparation and optimization, choice of anesthesia and monitoring, induction, intubation and maintenance of anesthesia, and postoperative management. Hypotension and hypoxemia are the common problems encountered during anesthetic management of septic patients. One has to be prepared to manage these. General anesthesia or locoregional anesthesia is the commonly used techniques.

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