Year : 2013 | Volume : 29 | Issue : 4 | Page : 445--453
Anesthetic management for patients with perforation peritonitis
Kiran Sharma1, Mritunjay Kumar2, Upma Bhatia Batra2,
1 Department of Anaesthesiology and Critical Care, Kalpana Chawla Medical College Karnal, New Delhi, India
2 Department of Anaesthesiology and Critical Care, Govind Ballabh Pant Hospital, New Delhi, India
Perforation peritonitis is a common surgical emergency. Anesthesia in patients with perforation peritonitis can be challenging. Delayed presentations, old age, hemodynamic instability, presence of sepsis and organ dysfunction are some of the predictors of poor outcome in such patients. Pre-operative optimization can reduce intraoperative and post-operative morbidity and mortality, but surgery should not be unnecessarily delayed. Intensive care in critical care settings may be essential.