Acidosis, Lactic/Metabolic


Risk

  • Incidence in USA: Unknown

  • Present in a variety of disease states, from mild to severe systemic illness

Perioperative Risks

  • Hemodynamic instability (due to arteriolar vasodilation and decreased cardiac output)

  • Hyperkalemia

  • Insulin resistance and hyperglycemia

  • Stimulation of inflammation and suppression of immune response

  • Acute resp failure

Worry About

  • Decreased responsiveness to vasopressors and inotropes

  • Decreased activity of local anesthetic agents

  • Arrhythmias

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