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Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control

Background. Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the ter...

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Autores principales: Tympa, Aliki, Theodoraki, Kassiani, Tsaroucha, Athanassia, Arkadopoulos, Nikolaos, Vassiliou, Ioannis, Smyrniotis, Vassilios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368350/
https://www.ncbi.nlm.nih.gov/pubmed/22690040
http://dx.doi.org/10.1155/2012/720754
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author Tympa, Aliki
Theodoraki, Kassiani
Tsaroucha, Athanassia
Arkadopoulos, Nikolaos
Vassiliou, Ioannis
Smyrniotis, Vassilios
author_facet Tympa, Aliki
Theodoraki, Kassiani
Tsaroucha, Athanassia
Arkadopoulos, Nikolaos
Vassiliou, Ioannis
Smyrniotis, Vassilios
author_sort Tympa, Aliki
collection PubMed
description Background. Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the terms “anesthetic,” “anesthesia,” “liver,” “hepatectomy,” “inflow,” “outflow occlusion,” “Pringle,” “hemodynamic,” “air embolism,” “blood loss,” “transfusion,” “ischemia-reperfusion,” “preconditioning,” was performed. Results. Task-orientated anesthetic management, according to the performed method of hepatic vascular occlusion, ameliorates the surgical outcome and improves the morbidity and mortality rates, following liver surgery. Conclusions. Hepatic vascular occlusion techniques share common anesthetic considerations in terms of preoperative assessment, monitoring, induction, and maintenance of anesthesia. On the other hand, the hemodynamic management, the prevention of vascular air embolism, blood transfusion, and liver injury are plausible when the anesthetic plan is scheduled according to the method of hepatic vascular occlusion performed.
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spelling pubmed-33683502012-06-11 Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control Tympa, Aliki Theodoraki, Kassiani Tsaroucha, Athanassia Arkadopoulos, Nikolaos Vassiliou, Ioannis Smyrniotis, Vassilios HPB Surg Review Article Background. Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the terms “anesthetic,” “anesthesia,” “liver,” “hepatectomy,” “inflow,” “outflow occlusion,” “Pringle,” “hemodynamic,” “air embolism,” “blood loss,” “transfusion,” “ischemia-reperfusion,” “preconditioning,” was performed. Results. Task-orientated anesthetic management, according to the performed method of hepatic vascular occlusion, ameliorates the surgical outcome and improves the morbidity and mortality rates, following liver surgery. Conclusions. Hepatic vascular occlusion techniques share common anesthetic considerations in terms of preoperative assessment, monitoring, induction, and maintenance of anesthesia. On the other hand, the hemodynamic management, the prevention of vascular air embolism, blood transfusion, and liver injury are plausible when the anesthetic plan is scheduled according to the method of hepatic vascular occlusion performed. Hindawi Publishing Corporation 2012 2012-05-28 /pmc/articles/PMC3368350/ /pubmed/22690040 http://dx.doi.org/10.1155/2012/720754 Text en Copyright © 2012 Aliki Tympa et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Tympa, Aliki
Theodoraki, Kassiani
Tsaroucha, Athanassia
Arkadopoulos, Nikolaos
Vassiliou, Ioannis
Smyrniotis, Vassilios
Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control
title Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control
title_full Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control
title_fullStr Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control
title_full_unstemmed Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control
title_short Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control
title_sort anesthetic considerations in hepatectomies under hepatic vascular control
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368350/
https://www.ncbi.nlm.nih.gov/pubmed/22690040
http://dx.doi.org/10.1155/2012/720754
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