**4. Conclusions**

AP is a complex disease, and a growing understanding of its pathophysiology has proven that pancreatic microcirculation is crucial in the development of necrosis. Current evidence supports the benefit of a proper fluid administration and pain relief in optimizing tissue perfusion and reducing AP worsening.

Early fluid resuscitation is the key to optimize pancreatic perfusion, reduce local necrosis, prevent hemodynamic deterioration and the systemic impact of disease. At the same time, it is important not to overload the patient, because a fluid excess worsens the outcome.

*The Anesthesiologist Contribution to Management of Acute Pancreatitis DOI: http://dx.doi.org/10.5772/intechopen.105821*

Working as a multidisciplinary team allows to optimize patient management based on individual skill. With this in mind, anesthesiologists propose a more precise and modern approach to pain control with multimodal analgesia and step-up management with PCA and TEA.

A particularly important aspect of care is frequent reassessment of the patient's clinical conditions, physiological and humoral parameters, and even more considering their evolution trend, to tailoring fluid administration and analgesia.

Personalization of care not only improves outcome of patients, but also reduces their hospital stays.
