TY - CHAP M1 - Book, Section TI - Developing an Anesthetic Plan for the Critically Ill Patient A1 - Zhao, Kevin A1 - Kwo, Jean A2 - Longnecker, David E. A2 - Mackey, Sean C. A2 - Newman, Mark F. A2 - Sandberg, Warren S. A2 - Zapol, Warren M. Y1 - 2017 N1 - T2 - Anesthesiology, 3e AB - KEY POINTSCritically ill patients often need surgery to correct the underlying cause of their illness or to deal with the complications of their illness.Advanced planning and open communication between the anesthesiologists, surgeons, the critical care team, and the patient and the patient’s family is crucial to understanding the goals and priorities of treatment.Critically ill patients may have impaired function of many vital organ systems. Preoperative evaluation of the degree of organ dysfunction and optimization of the patient’s condition can ensure that the patient is in the best possible condition to undergo the additional stresses associated with surgery and anesthesia.The simplest surgical procedure resulting in the least physiologic upset is generally the best option for the critically ill patient.Patients are at high risk for adverse events during transport to the operating room.The anesthesiologist must decide which monitors are needed to assess the patient’s condition.Although general anesthesia is most often necessary for surgery in the critically ill patient, regional anesthesia can play a valuable role helping achieve patient comfort and reduce physiologic stress.There should be specific goals and endpoints defined for the management of the critically ill patient to optimize hemodynamics and minimize end-organ hypoperfusion and injury. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1144134477 ER -