Staged intraperitoneal brachytherapy and hyperthermic intraperitoneal chemotherapy in an adolescent: novel anesthetic challenges for pediatric anesthetists
| Autor: | Winnie Fung, Andrew Weatherall, Jonathan De Lima, Mark A. Lovell, Tristan R. Bennett |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Methyl Ethers medicine.medical_specialty Adolescent medicine.medical_treatment Brachytherapy Injections Epidural Anesthesia General Kidney Wilms Tumor Fentanyl 03 medical and health sciences Sevoflurane 0302 clinical medicine 030202 anesthesiology Cytoreduction Surgical Procedures medicine Combined Modality Therapy Humans Stage (cooking) Intensive care medicine Propofol Chemotherapy business.industry Wilms' tumor Hyperthermia Induced medicine.disease Kidney Neoplasms Anesthesiology and Pain Medicine Treatment Outcome 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Hyperthermic intraperitoneal chemotherapy Neoplasm Recurrence Local Peritoneum business medicine.drug |
| Zdroj: | Paediatric anaesthesia. 27(4) |
| ISSN: | 1460-9592 |
| Popis: | Newer techniques that have found a place in cancer management in adults are offered far less commonly in pediatric patients. We present a case of a patient with recurrent Wilms' tumor managed with a novel combination of cytoreductive surgery, intraperitoneal brachytherapy, and subsequent hyperthermic intraperitoneal chemotherapy. Each stage presents challenges that the pediatric anesthetist is unlikely to have faced before. Such cases require flexibility and thorough planning to manage the combination of major surgery, remote anesthesia with brachytherapy and hyperthermic chemotherapy with its potential for metabolic derangement, significant fluid shifts, analgesic care, and potential exposure of staff to cytotoxic agents. Comprehensive care can be offered in pediatric centers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text