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Indian Journal of Anesthesia and Analgesia 11(2):p 77-81, April - June 2024. | DOI: https://doi.org/10.21088/ijaa.2349.8471.11224.4
Case Report
Anaesthesia Considerations for Patients Undergoing Cytoreductive Surgeries with Hyperthermic Intraperitoneal Chemotherapy
Tarun Kumar Reddy, Ravi Madhusudhana, Kiran Nelamangala
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 11(2):p 77-81, April - June 2024. | DOI: https://doi.org/10.21088/ijaa.2349.8471.11224.4
How Cite This Article:
Reddy TK, Madhusudhana R, Nelamangala K. Anaesthesia considerations for patients undergoing cytoreductive surgeries with hyperthermic intraperitoneal chemotherapy. Ind J Anesth Analg. 2024;11(2):77-81.Timeline
Received : March 07, 2024
Accepted : June 22, 2024
Published : June 29, 2024
Abstract
Cytoreductive surgeries (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) has become a multimodal treatment option for patients with peritoneal carcinomatosis. A 56-year-old female diagnosed with ovarian mucinous cystadenoma+appendicular neoplasm was posted for CRS and HIPEC. The patient a diabetic; a central venous catheter was cited to the right internal jugular vein; an epidural catheter was cited. Anaesthesia was performed according to institutional guidelines; the arterial line was secured, and an oesophageal thermometer was placed intra-operatively. Successive blood gas analysis was done in the intraoperative period for correction of metabolic and electrolyte disturbances; blood sugars were monitored regularly; and adequate volume replacement was done with crystalloids and blood products. HIPEC involves the administration of chemoactive drugs; personal protective equipment was worn by all those in the operation theater as a safety measure. Temperature management is of utmost importance; warmed fluid infusion, warming blankets, and warmers were used. The total duration of the procedure was 8 hours. Post-operatively, the patient was shifted to the ICU with an endotracheal tube for elective ventilation, closely monitored in the acute care unit, and extubated the next day.
References
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- 4. SchmidtC,MoritzS,Rath S,GrossmannE,Wiesenack C, Piso P, Graf BM, Bucher M. Perioperative management of patients with cytoreductive surgery for peritoneal carcinomatosis. J Surg Oncol. 2009 Sep 15;100(4):297-301. doi: 10.1002/jso.21322. PMID: 19697426.
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This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
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Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Reddy TK, Madhusudhana R, Nelamangala K. Anaesthesia considerations for patients undergoing cytoreductive surgeries with hyperthermic intraperitoneal chemotherapy. Ind J Anesth Analg. 2024;11(2):77-81.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| March 07, 2024 | June 22, 2024 | June 29, 2024 |
DOI: https://doi.org/10.21088/ijaa.2349.8471.11224.4
Keywords
General anaesthesiaCytoreductive surgeryHyperthermic intra-peritoneal chemotherapySearch for Similar Articles
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Timeline
| Received | March 07, 2024 |
| Accepted | June 22, 2024 |
| Published | June 29, 2024 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
