Emergency anesthesia in elderly patients with septic shock: a case report and literature review
10.3760/cma.j.issn.0254-9026.2021.02.018
- VernacularTitle:高龄合并感染性休克的急诊麻醉患者一例并文献复习
- Author:
Junfeng LI
;
Xianghua DU
;
Yetong LI
;
Fan YANG
;
Mingzhang ZUO
- From:
Chinese Journal of Geriatrics
2021;40(2):221-224
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate perioperative management of anesthesia for septic shock.Methods:Anesthesia performed on an elderly patient with septic shock who underwent emergency surgery in Beijing Hospital was analyzed and summarized, with a literature review.Results:Etomidate, Ketamine, cis Atracurium and Remifentanil are preferred for anesthesia induction, and Remifentanil and Sevoflurane are the first choices for anesthesia maintenance.Combined application with Dexmedetomidine may improve patients' prognosis.For septic shock patients with new-onset atrial fibrillation, β-blockers are preferred for perioperative anti-arrhythmia.If necessary, propafenone or amiodarone can be used for cardioversion.Perioperative ultrasound evaluation may be used to guide perioperative fluid therapy and vasoactive drug administration for septic shock in the future.Conclusions:Anesthesiologists should place a high value on and have a good command of the main aspects of perioperative management of anesthesia for septic shock.
