Jain Parmanand, Balkrishanan Kalpana, Nayak Sukdev, Gupta Nishkarsh, Shah Shagun
Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Centre and Homi Bhabha National Institute, Mumbai, Maharashtra, India.
Department of Anesthesia, Pain and Palliative care, Cancer Institute (WIA), Adyar, Chennai, Tamil Nadu, India.
Indian J Anaesth. 2021 Jan;65(1):29-34. doi: 10.4103/ija.IJA_1556_20. Epub 2021 Jan 20.
Global cancer burden is on the rise and many more patients present for surgery or other oncological diagnostic or therapeutic interventions requiring anaesthesia. Oncology therapy is unique as it requires a multidisciplinary team of surgical, medical and radiation oncologists apart from palliative medicine (PM) specialists, and anaesthesiologists. Anaesthetic management can affect the outcome of oncology treatment both by ensuring early return to oncology treatment and some anaesthetic techniques being innately associated with recurrence. Hence, the time has come for a separate super-speciality of onco-anaesthesiology to cater to the complex unmet needs of cancer patients. PM is the fourth dimension of oncology care and so mandatory education and training should be included in the undergraduate curriculum.
全球癌症负担正在上升，越来越多的患者需要接受手术或其他需要麻醉的肿瘤诊断或治疗干预。肿瘤治疗具有独特性，因为除了姑息医学（PM）专家和麻醉医生外，还需要外科、医学和放射肿瘤学家组成的多学科团队。麻醉管理既可以通过确保患者早日恢复肿瘤治疗，也可以通过一些与复发内在相关的麻醉技术来影响肿瘤治疗的结果。因此，现在是时候设立一个单独的肿瘤麻醉学超级专科，以满足癌症患者复杂的未满足需求了。姑息医学是肿瘤护理的第四个维度，因此本科课程中应纳入强制性教育和培训。
