AI Article Synopsis
- Sepsis and shock can lead to multiple organ failure, requiring careful patient assessment and awareness of necessary testing beyond just blood pressure.
- Anesthesiologists should prepare for surgery by anticipating potential dysfunction and ensuring they have blood products and antibiotics readily available.
- Ketamine is preferred for induction in these patients as it minimizes rapid drops in systemic vascular resistance, highlighting the importance of proper management to prevent serious outcomes, including death.
Article Abstract
Sepsis and shock are severe conditions that, when together, may cause multiple organ failure. The anesthesiologist must be able to take a careful history and physical, as well as be aware that additional tests are necessary to assess the patient status, as preoperative systemic blood pressure is not indicative of adequate volume status. In preparation for surgery, one must anticipate dysfunction and have adequate blood products and antibiotic at hand. Ketamine is notable for induction in these patients because it is less likely to decrease systemic vascular resistance too quickly. One must not take this lightly, as death may ensue if proper management is not taken.
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