Anesthetic drugs, fluid, electrolyte, and blood replacement in organ failures
Organ Failure and Anesthesia Practices, NOVA Publications , ss.1-39, 2024
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2024
- Yayınevi: NOVA Publications
- Sayfa Sayıları: ss.1-39
- Anahtar Kelimeler: Colloids, Hyperkalemia, Hyponatremia, Inhalation anesthetics, Intravenous anesthetics
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Considering the patient profile in today's anesthesia practices, patients with organ failure are frequently encountered. Furthermore, the survival rates of such patients increase with the development of technology and medical practices. This will increase the number of patients with organ failure who will receive anesthesia in the future. Therefore, it is essential for us in the anesthetic approach to administer the optimum dose of anesthetic drugs to patients, regulate patient fluid and electrolyte treatments, and perform the appropriate replacement of blood products. In this section, we discuss anesthetic approaches, especially in patients with renal, hepatic, heart, respiratory, and neurologic failure. If there is a contraindication to anesthetic drugs related to failure, it is important to avoid using these anesthetic drugs, and appropriate drugs should be administered by adjusting their doses and titrating. Fluid and electrolyte disorders often occur in kidney, heart, and liver failure. Necessary replacements and interventions should be performed to keep electrolytes at normal plasma levels, and in case of high plasma levels, appropriate treatment protocols should be mastered. Therefore, it is necessary to know the content and applications of crystalloid-colloid solutions. The use of blood and blood products is also of vital importance. Invasive and non-invasive methods of monitoring and biochemical tests should guide us while applying all of these treatments.