Anesthetic management in an appendix tumor patient undergoing hyperthermic chemotherapy

J Clin Exp Invest 2013;4(2):234-237.

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

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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.

Keywords

Anaesthesia, general, hyperthermic intraper­itoneal chemotherapy, cytoreductive surgery

Citation

Yanlı Y, Akçay E, Yürük C, Bakan N. Anesthetic management in an appendix tumor patient undergoing hyperthermic chemotherapy. J Clin Exp Invest. 2013;4(2):234-7. https://doi.org/10.5799/ahinjs.01.2013.02.0274