| REVIEW ARTICLE |
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| Year : 2012 | Volume
: 28
| Issue : 3 | Page : 304-313 |
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Anesthesia and perioperative management of colorectal surgical patients - specific issues (part 2)
Santosh Patel1, Jan M Lutz2, Umakanth Panchagnula3, Sujesh Bansal3
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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