Perianesthesia Measurement During Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy Procedure: A Case Report and Review of the Literature.

PURPOSE

This purpose of this case study and review was to understand perianesthesia care of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy surgery (CRS+HIPEC).

DESIGN

Case study.

METHODS

The perianesthesiaa medical record of a patient under CRS+HIPEC was analyzed to study the characteristics of perianestheia care for CRS+HIPEC. The literature of perianestheisa care for CRS+HIPEC was reviewed.

FINDINGS

The challenges that perianesthesia care for CRS+HIPEC include-but are not limited to-electrolyte abnormalities, hemodynamic instabilities, and temperature fluctuation. Optimal perianesthesia management of a patient treated with CRS+HIPEC requires control of a complex interplay of physiologic mechanisms.

CONCLUSIONS

Besides maintenance of clinical and laboratory parameters, and recognition and treatment of any changes, evidenced-based guidelines are needed, not only for the optimal perianesthesia management of these patients, but also to avoid potential life threatening intraoperative and postoperative complications. The standardization of perianesthesia management for CRS+HIPEC is a necessary step in meeting these goals.