Anesthetics considerations in peritonitis

Authors

  • Pietro Brambillasca Department of Anesthesia, Papa Giovanni XXIII Hospital, Bergamo
  • Alberto Benigni Department of Anesthesia, Papa Giovanni XXIII Hospital, Bergamo
  • Micol Maffioletti Department of Anesthesia, Papa Giovanni XXIII Hospital, Bergamo
  • Valter Sonzogni Department of Anesthesia, Papa Giovanni XXIII Hospital, Bergamo
  • Luca Ferdinando Lorini Department of Anesthesia, Papa Giovanni XXIII Hospital, Bergamo
  • Davide Corbella Department of Anesthesia, Papa Giovanni XXIII Hospital, Bergamo

DOI:

https://doi.org/10.4081/joper.2017.45

Keywords:

Peritonitis, early goal directed therapy., anesthesia, abdominal surgery, epidural, early goal directed therapy

Abstract

Peritonitis remains an illness with a significant mortality rate in surgery. Age, male sex, and the inability to control the source are associated with greater mortality. Anesthesia and perioperative medicine should aim to stop the increase in metabolic debt in the pre-surgical phase and to provide metabolic steering during surgery. Early goal directed therapy (EGDT) is still the mandatory cornerstone of management, presented here in several different versions, depending on the monitoring system available in the local clinical environment. The discharge from the operating room to a proper clinical setting must be based on a suitable scoring system, such as APACHE II (acute physiology and chronic health evaluation). Clinical surveillance, when the patient is on the ward, has to be governed for a period using a nursing score like the modified early warning score. Antimicrobial therapy, as well as appropriate timing of administration is both important. Analgesia, locoregional whenever possible, is also an important tool for preventing complications, which occur mainly during the postoperative period, and most frequently in the first month.

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Published

2017-05-16

How to Cite

1.
Brambillasca P, Benigni A, Maffioletti M, Sonzogni V, Lorini LF, Corbella D. Anesthetics considerations in peritonitis. J Peritoneum [Internet]. 2017 May 16 [cited 2024 Sep. 16];2(1). Available from: https://joper.pagepress.net/index.php/joper/article/view/45

Issue

Vol 2, No 1 (2017)

Section

Reviews

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