The Septic Patient
Autor: | Mark E. Nunnally, Arpit Patel |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Resuscitation Ileus Sepsis 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Afterload 030202 anesthesiology Medicine Humans Intensive care medicine business.industry General Medicine Perioperative Stroke volume medicine.disease Shock Septic Anesthesiologists Preload Anesthesiology and Pain Medicine Fluid Therapy business 030217 neurology & neurosurgery |
Zdroj: | Anesthesiology clinics. 38(4) |
ISSN: | 1932-2275 |
Popis: | Anesthesiologists are uniquely positioned to facilitate emergent care of patients with sepsis in the perioperative setting. A subset of sepsis patients presents with surgical pathology. Emphasis is on timely intervention with source control, antibiotic therapy, and aggressive resuscitation. Ileus, aspiration, and cardiovascular collapse must be considered when inducing patients with sepsis. Dynamic fluid responsiveness may prove an effective tool in minimizing over-resuscitation. Assessment of circulatory failure and drug therapy involves an understanding of preload, afterload, and contractility. Timely, targeted resuscitation and early source control have persisted and remain fundamental to sepsis care. |
Databáze: | OpenAIRE |
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