As septic patients depict unstable hemodynamic states due to hypotension or cardiomyopathy caused by vasodilation, the tissue perforation perfusion and oxygenation are threatening functions of critical organs. Therefore, it becomes a primary concern for anesthesiologists in inducing anesthesia probably in those who are disposed to have a hemodynamic crisis. As a result, an anesthesiologist must have a precise anesthetic plan based on a thorough preanesthetic evaluation.
Severe sepsis usually causes progressive damage to multiple organs. Most anesthetic induction agents cause blood pressure decline, however, it may be useful to use drugs, like ketamine or etomidate, which carry less cardiovascular instability effects than propofol, thiopental and midazolam.Regarding anesthetic management in patients with severe sepsis, the main concern for an anesthesiologist is generally to maintain…
