Anaesthetic issues in women undergoing gynaecological cytoreductive surgery
| Autor: | Bernard Vanacker |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Blood management medicine.medical_treatment Disease Anesthesia General Gynecologic Surgical Procedures Preoperative Care medicine Humans General anaesthesia Anesthesia Intraoperative Complications Ovarian Neoplasms Chemotherapy business.industry General surgery Preoperative screening Perioperative medicine.disease Anti-Bacterial Agents Analgesia Epidural Anesthesiology and Pain Medicine Female business Ovarian cancer Cytoreductive surgery |
| Zdroj: | Current opinion in anaesthesiology. 22(3) |
| ISSN: | 1473-6500 |
| Popis: | Purpose of review Increasing numbers of women with ovarian cancer are undergoing cytoreductive surgery in reference centres. This review looks at this disease in these women and the different aspects of perioperative clinical management of these patients by the anaesthetic team: preoperative screening, anaesthetic techniques, fluid or blood management or both and prevention and treatment of important complications. Recent findings The outcome for women with ovarian cancer can be influenced not only by the timing of surgery or chemotherapy or both but also by anaesthetic technique, especially by combining general anaesthesia and central neural blockade, by a rational approach to perioperative fluid management and by administration of statins. Summary Anaesthesia is more than ‘keeping asleep’. Anaesthesiologists have an enormous responsibility in the preoperative, peroperative, and postoperative period for patients undergoing gynaecological cytoreductive surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|