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Anesthetic management in an appendix tumor patient undergoing hyperthermic chemotherapy

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Author(s): Yonca Yanlı | Erdem Akçay | Cafer Yürük | Nurten Bakan

Journal: Journal of Clinical and Experimental Investigations
ISSN 1309-8578

Volume: 4;
Issue: 2;
Start page: 234;
Date: 2013;
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Keywords: Anaesthesia | general | hyperthermic intraperitoneal chemotherapy | cytoreductive surgery.

ABSTRACT
Cytoreductive surgery combined with hyperthermic intraperitonealchemotherapy (HIPEC) is a complex and multidisciplinerprocedure that is being used increasingly forperitoneal and appendix malignency. First of all the macroscopictumor tissues are extracted after that peritonealperfusion is started with giving heated 42°C chemotherapeuticsolution via abdominal drains. It is important tomaintain normovolemia, to regulate coagulation and renalparameters during perioperative period, to compansatehypothermia during cytoreductive surgery and hyperthermiaduring HIPEC and to regulate hemodynamic changesdue to increased abdominal pressure during HIPEC.In this case report, we aimed to share anaesthetic experienceand to evaluate anaesthetic problems in 45 yearsold ASA I patient undergoing cytoreductive surgery andhypertermic intraperitoneal chemotherapy in which newlyestablished in our hospital for appendix tumor. J Clin ExpInvest 2013; 4 (2): 234-237Key words: Anaesthesia, general, hyperthermic intraperitonealchemotherapy, cytoreductive surgery.
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