ANESTHESIA CONSIDERATIONS FOR CRITICALLY ILL PATIENTS

摘要

Provide adequate analgesia. Premedicate with a full mu-opioid. Preoxygenate prior to induction with a benzodiazepine + propofol or etomidate. Intubate and maintain with an inhalant. Provide IV fluids and temperature support. Minimize inhalant requirements through additional analgesic techniques (local anesthetic blocks, analgesic CRIs). Monitor cardiovascular and respiratory function (e.g., Doppler BP and ETC02) and temperature. The following should generally be avoided: inhalant inductions, dexmedetomidine, acepromazine, and drugs (doses and routes of administration) that cause emesis. Avoid sedation of pets that are cyanotic or dyspneic. Do not underestimate the importance of adequate pain relief, close monitoring, and supportive care throughout the perianesthetic time period for medically fragile patients.