Cytoreduction with Hyperthermic Intraperitoneal Chemotherapy and Renal Insufficiency Related to Diabetes Mellitus: An Anesthetic Challenge
| Autor: | Adrian Bartos, Caius Breazu, Lidia Ciobanu, Calin Mitre, Dana Bartos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Case Report acute renal failure hyperthermic intraperitoneal chemotherapy Diabetic nephropathy 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine cytoreductive surgery Contraindication business.industry RC86-88.9 Medical emergencies. Critical care. Intensive care. First aid medicine.disease Surgery 030220 oncology & carcinogenesis Toxicity Anesthetic diabetes mellitus Adenocarcinoma 030211 gastroenterology & hepatology Hyperthermic intraperitoneal chemotherapy Cytoreductive surgery business medicine.drug |
| Zdroj: | The Journal of Critical Care Medicine The Journal of Critical Care Medicine, Vol 3, Iss 4, Pp 158-161 (2017) |
| ISSN: | 2393-1817 2393-1809 |
| Popis: | Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) improves the prognosis in selected patients with peritoneal surface malignancies but it is an extensive procedure predisposing to major complications. Among them renal toxicity was reported. Severe renal insufficiency is considered a contraindication for this complex procedure. We present a patient with diabetic nephropathy with renal insufficiency KDOQI 3 and peritoneal metastasis from sigmoid adenocarcinoma with a good clinical outcome after CRS with HIPEC, highlighting the anesthetic precautions considered for this particular clinical case. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|