Anesthetic management in an appendix tumor patient undergoing hyperthermic chemotherapy
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Yonca Yanlı 1 * , Erdem Akçay, Cafer Yürük, Nurten Bakan
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1 Ümraniye Eğitim ve Araştırma Hast., Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, Turkey* Corresponding Author

Abstract

Cytoreductive surgery combined with hyperthermic intra­peritoneal chemotherapy (HIPEC) is a complex and mul­tidiscipliner procedure that is being used increasingly for peritoneal and appendix malignency. First of all the mac­roscopic tumor tissues are extracted after that peritoneal perfusion is started with giving heated 42°C chemother­apeutic solution via abdominal drains. It is important to maintain normovolemia, to regulate coagulation and renal parameters during perioperative period, to compansate hypothermia during cytoreductive surgery and hyperther­mia during HIPEC and to regulate hemodynamic changes due to increased abdominal pressure during HIPEC.
In this case report, we aimed to share anaesthetic experi­ence and to evaluate anaesthetic problems in 45 years old ASA I patient undergoing cytoreductive surgery and hypertermic intraperitoneal chemotherapy in which newly established in our hospital for appendix tumor.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

J Clin Exp Invest, Volume 4, Issue 2, June 2013, 234-237

https://doi.org/10.5799/ahinjs.01.2013.02.0274

Publication date: 13 Jun 2013

Article Views: 1339

Article Downloads: 935

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