Anesthetic considerations for hepatic cryotherapy
| Autor: | Keith Littlewood |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Postoperative Care
medicine.medical_specialty Hepatic cryotherapy business.industry medicine.medical_treatment Liver Neoplasms Cryotherapy Perioperative medicine.disease Cryosurgery Hepatic malignancy Surgery Heat conservation Oncology Perioperative care Anesthetic medicine Coagulopathy Humans Anesthesia Inhalation Intensive care medicine business medicine.drug |
| Zdroj: | Seminars in Surgical Oncology. 14:116-121 |
| ISSN: | 1098-2388 8756-0437 |
| DOI: | 10.1002/(sici)1098-2388(199803)14:2<116::aid-ssu4>3.0.co;2-8 |
| Popis: | The evolution of hepatic cryotherapy as an accepted treatment for patients with non-resectable hepatic malignancy has required concurrent evaluation and development of perioperative anesthetic management of these cases. Review of published and institutional experience demonstrates that hepatic cryotherapy presents the anesthesiologist with an array of challenges, all of which are not intuitively apparent. Specifically, such issues as management of coexisting physiologic perturbations of the oncology patient, heat conservation during the procedure, and readiness for a more extensive procedure would be readily anticipated by most clinicians. Description and reasonable management of problems ranging from mild or moderate postoperative thrombocytopenia to the so-called cryoshock syndrome with the possibility of severe postoperative coagulopathy, renal dysfunction, and pulmonary complications, however, could emerge only with the education of experience. The goal of this article is to address the key issues faced by anesthesiologists consulted in the perioperative care of patients undergoing hepatic cryotherapy. |
| Databáze: | OpenAIRE |
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