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REVIEW ARTICLE
Year : 2013  |  Volume : 29  |  Issue : 4  |  Page : 445-453

Anesthetic management for patients with perforation peritonitis


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

Correspondence Address:
Mritunjay Kumar
Department of Anaesthesiology and Critical Care, Govind Ballabh Pant Hospital, New Delhi - 110 002
India
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Source of Support: None, Conflict of Interest: None


Read associated Retraction Notice: Retraction Notice with this article

DOI: 10.4103/0970-9185.119128

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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.


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