Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach
| Autor: | Nasrin N Aldawoodi, Allan R Escher, David Ninan, Sephalie Y Patel |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Resuscitation animal structures Hemodynamics 030204 cardiovascular system & hematology tee cvp 03 medical and health sciences 0302 clinical medicine Anesthesiology medicine cytoreductive surgery crs Ejection fraction hyperthermic intraperitoneal chemotherapy (hipec) transesophageal echocardiography business.industry General Engineering Central venous pressure Stroke volume novel approach Surgery Blood pressure Oncology fluid management General Surgery Hyperthermic intraperitoneal chemotherapy reduced ejection fraction Cytoreductive surgery business euvolemia 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.5062 |
| Popis: | Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an extensive, lengthy procedure for patients with peritoneal metastases. It is associated with fairly high morbidity and mortality as compared with other non-vascular intra-abdominal surgeries. Fluid and hemodynamic management is challenging and not well established, particularly in patients with a low ejection fraction (EF). This case details the successful intraoperative anesthetic management of a patient with an ejection fraction of 20% undergoing CRS/HIPEC using the addition of intraoperative transesophageal echocardiography (TEE) as an adjunct to central venous pressure (CVP), urine output (UOP), and calculated stroke volume variation (SVV) for goal-directed resuscitation and blood pressure support. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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