Question about anesthesia for peritonitis

I recently did this case of a patient with peritonitis, perforated bowel from a colonoscopy. Pt arrived shocked in ED, they gave him some fluids, he came to us with a bp of 100x60, lethargic. Attending decided to do induction with ketamine-S (people don't like the regular ketamine here)/fent/benzo, maintained with sevo/ intermitent ketamine boluses. It went downhill from there, he became hypotensive, had to give him high doses of norepi/epi. Afterwards, 22 issues at the ICU he stayed in the... Question about anesthesia for peritonitis
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