Challenges and strategies for anesthetic management in pa-tients with septic shock
Guangling Feng1
Peng Ji2
Song Yao2
Jinyu Wang2
Jie Gao3
Xianling Guo3
Zhui Ke3
1.First People's Hospital of Guiyang,Guiyang City,Guizhou Province,550000,China2.Xiangshui County People's Hospital,Jiangsu,224600,China3.Tenth People's Hospital Affiliated to Tongji University,Shanghai,200092,China
摘要：Septic shock is a serious surgical complication with a high mortality rate and presents challenges for anesthetic man-agement.This review examines the pathophysiological mechanisms,perioperative risks,and impact of septic shock on the function of multiple organs,as well as the latest advances and strategies in anesthetic management for surgical pa-tients with septic shock.Remimazolam and ketamine are preferred for anesthetic management of these patients in view of their minimal impact on hemodynamics.Regional anesthesia and nerve block techniques may improve the progno-sis in high-risk patients.Rational use of vasopressors,advanced hemodynamic monitoring,and restrictive transfusion strategies are also key elements in management.Agents such as fentanyl,which may exacerbate circulatory suppres-sion,should be avoided,and the risks of general anesthesia in specific populations should be carefully considered.This review provides a systematic and practical clinical reference for young anesthesiologists,emphasizing individualized and multidisciplinary management to improve perioperative outcomes in patients with septic shock.
机标关键词：managementstrategiessepticwithanestheticchallengespa-tientsshock
论文发表日期：2025-09-30
在线出版日期：2025-12-02（本平台首次上网日期，不代表文献的发表时间）
页数：11( 28-37,77 )
英文信息