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Year : 2012  |  Volume : 28  |  Issue : 3  |  Page : 304-313

Anesthesia and perioperative management of colorectal surgical patients - specific issues (part 2)


1 Department of Anesthesia, The Pennine Acute NHS Trust, Rochdale and Honorary Lecturer, School of Biomedicine, University of Manchester, United Kingdom
2 Blackpool Teaching Hospitals NHS Foundation Trust, United Kingdom
3 Central Manchester University Hospitals NHS Foundation Trust, United Kingdom

Correspondence Address:
Santosh Patel
Rochdale Infirmary / The Pennine Acute Hospitals NHS Trust, Rochdale OL12 0NB
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.98321

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Colorectal surgery carries significant morbidity and mortality, which is associated with an enormous use of healthcare resources. Patients with pre-existing morbidities, and those undergoing emergency colorectal surgery due to complications such as perforation, obstruction, or ischemia / infarction are at an increased risk for adverse outcomes. Fluid therapy in emergency colorectal surgical patients can be challenging as hypovolemic and septic shock may coexist. Abdominal sepsis is a serious complication and may be diagnosed during pre-, intra-, or postoperative periods. Early suspicion and recognition of medical and / or surgical complications are essential. The critical care management of complicated colorectal surgical patients require collaborative and multidisciplinary efforts.


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