Anesthesia for Patients with Concomitant Sepsis and Cardiac Dysfunction.
Anesthesiologists faced with a patient with sepsis and concurrent cardiac dysfunction must be cognizant of the patient's cardiac status and cause of the cardiac problem to appropriately adapt physiologic and metabolic monitoring and anesthetic management. Anesthesia in such patients is challenging because the interaction of sepsis and cardiac dysfunction greatly complicates management. Intraoperative anesthesia management requires careful induction and maintenance of anesthesia; optimizing intravascular volume status; avoiding lung injury during mechanical ventilation; and close monitoring of arterial blood gases, serum lactate concentrations, and hematology renal and electrolyte parameters. Such patients have increased mortality because of their inability to adequately compensate for the cardiovascular changes caused by sepsis.
Department of Anesthesiology and Critical Care Medicine, Hadassah - Hebrew University Medical Center, Hebrew University - Hadassah School of Medicine, Jerusalem, Israel.
Abed
A
Abubaih
Department of Anesthesiology and Critical Care Medicine, Hadassah - Hebrew University Medical Center, Hebrew University - Hadassah School of Medicine, Jerusalem, Israel. Electronic address: charles@hadassah.org.il.
Charles
C
Weissman
D000758:Anesthesia / Q000379:methods*; D001786:Blood Glucose / Q000032:analysis; D005045:Etomidate / Q000627:therapeutic use; D015199:Extracorporeal Membrane Oxygenation; D006331:Heart Diseases / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D020097:Natriuretic Peptide, Brain / Q000097:blood; D018805:Sepsis / Q000150:complications* / Q000401:mortality / Q000503:physiopathology / Q000628:therapy
D001786:Blood Glucose; D020097:Natriuretic Peptide, Brain; D005045:Etomidate
Cardiac dysfunction; Coronary artery disease; Inotropic agents; Physiologic monitoring; Sepsis; Sepsis-induced cardiac dysfunction; Septic shock; Vasopressors