RT Book, Section
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.
SR Print(0)
ID 1144134477
T1 Developing an Anesthetic Plan for the Critically Ill Patient
T2 Anesthesiology, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071848817
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1144134477
RD 2024/04/19
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.