http://revistachilenadeanestesia.cl/anestesia-en-el-paciente-septico/

Abstract

Introduction: Sepsis corresponds to a dysregulated host response to infection that occurs with some degree of organic dysfunction. Objective: to conduct a narrative review of the literature about the anesthetic management of the septic patient. Methods: A structured search of the literature was carried out in the following databases: EBSCO, Pubmed, Embase, SciELO and Cochra-ne Library, with the terms: Anesthesia AND sepsis; anesthesia AND sepsis AND management; sepsis AND treatment; both English and Spanish. Results: About 45 articles were found with important information for the development of the present review. Conclusions: the type of anesthesia, as well as the inducers and medications involved in the maintenance of general anesthesia should be chosen according to the particular condition of each patient and the experience of the anesthesiologist. Resuscitation goals, as well as protective ventilation maneuvers, should be continued or implemented during the surgery.