Open AccessAnaesthetic Management of Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy (CRS/HIPEC): A True Challenge To an Anaesthetist
Author(s) -
Roly Mishra,
Dr.Kritika Sharma,
Jueeli Barpande,
Nitu Kumari,
Hitaishi Mehta
Publication year - 2020
Publication title -
journal of current medical research and opinion
Language(s) - English
Resource type - Journals
eISSN - 2589-8779
pISSN - 2589-8760
DOI - 10.15520/jcmro.v3i07.307
Subject(s) - hyperthermic intraperitoneal chemotherapy , medicine , cytoreductive surgery , perioperative , surgery , blood loss , chemotherapy , anesthesia , general surgery , cancer , ovarian cancer
Patients diseased with gynecological malignancies were believed untreatable with poor survival chances till hyperthermic intraperitoneal chemotherapy after capital cytoreductive surgery came into existence. Perioperative management of this patient, for a major surgery like CRS/HIPEC is complex and challenging. Major perioperative concerns in these patients include anesthetic challenges intraoperative fluid management, maintaining mean arterial blood pressure, thermoregulation electrolyte imbalances, significant blood loss and fluid shifts and renal toxicity after chemotherapeutic drugs administration. We report a case of 66 year old female diagnosed with carcinoma ovary with moderate ascites posted for cytoreductive surgery and HIPEC.