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The Septic Patient
Arpit Patel1, Mark E Nunnally1
1Department of Anesthesiology, Perioperative Care and Pain Medicine, NYU Langone Health, NYU Langone Medical Center, 550 1st Avenue, New York, NY 10016, USA.
Anesthesiology Clinics
|October 31, 2020
Summary
Anesthesiologists play a key role in managing patients with sepsis in the perioperative period. Early intervention, including source control and fluid resuscitation, is crucial for improving outcomes in sepsis patients.
Area of Science:
- Anesthesiology
- Critical Care Medicine
- Sepsis Management
Background:
- Sepsis presents unique challenges in the perioperative setting.
- A subset of sepsis patients requires surgical intervention.
- Anesthesiologists are integral to emergent care for these patients.
Purpose of the Study:
- To highlight the anesthesiologist's role in perioperative sepsis management.
- To emphasize critical interventions for sepsis patients undergoing surgery.
- To discuss strategies for optimizing resuscitation and circulatory support.
Main Methods:
- Review of current literature and clinical guidelines on sepsis management.
- Focus on perioperative considerations, including induction and resuscitation.
- Discussion of hemodynamic assessment and therapeutic interventions.
Main Results:
- Timely source control, antibiotic therapy, and aggressive resuscitation are paramount.
- Consideration of specific risks like ileus, aspiration, and cardiovascular collapse during induction.
- Dynamic fluid responsiveness can aid in preventing over-resuscitation.
Conclusions:
- Anesthesiologists are vital for emergent sepsis care in the perioperative setting.
- Early, targeted resuscitation and source control are fundamental to sepsis care.
- Understanding hemodynamics is key for effective circulatory failure management and drug therapy.
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