Open AccessAnaesthesia for fixation of repeated pathological fractures in a patient with multiple myeloma
Author(s) -
Sriraam Kalingarayar,
Amar Nandhakumar,
A. Thennavan
Publication year - 2017
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/ija.ija_467_17
Subject(s) - medicine , perioperative , pathological , multiple myeloma , adverse effect , disease , intensive care medicine , life expectancy , fixation (population genetics) , quality of life (healthcare) , anesthesia , surgery , nursing , population , environmental health
The introduction of new chemotherapeutic agents for the treatment of multiple myeloma (MM) has improved the life expectancy and quality of life for these patients in the last decade. Therefore, more patients with MM are being treated for repeated pathological fractures. The anaesthesiologist should continue the optimum supportive care received by these patients in the perioperative period also, by understanding the pathophysiology of the disease, the adverse effects of the chemotherapeutic agents and the guidelines for their supportive care. We report the perioperative management of a patient with MM and discuss the perioperative anaesthetic considerations.