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Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach

Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an extensive, lengthy procedure for patients with peritoneal metastases. It is associated with fairly high morbidity and mortality as compared with other non-vascular intra-abdominal surgeries. Fluid and hemodynami...

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Autores principales: Aldawoodi, Nasrin N, Escher, Allan R, Ninan, David, Patel, Sephalie Y
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624119/
https://www.ncbi.nlm.nih.gov/pubmed/31328075
http://dx.doi.org/10.7759/cureus.5062
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author Aldawoodi, Nasrin N
Escher, Allan R
Ninan, David
Patel, Sephalie Y
author_facet Aldawoodi, Nasrin N
Escher, Allan R
Ninan, David
Patel, Sephalie Y
author_sort Aldawoodi, Nasrin N
collection PubMed
description Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an extensive, lengthy procedure for patients with peritoneal metastases. It is associated with fairly high morbidity and mortality as compared with other non-vascular intra-abdominal surgeries. Fluid and hemodynamic management is challenging and not well established, particularly in patients with a low ejection fraction (EF). This case details the successful intraoperative anesthetic management of a patient with an ejection fraction of 20% undergoing CRS/HIPEC using the addition of intraoperative transesophageal echocardiography (TEE) as an adjunct to central venous pressure (CVP), urine output (UOP), and calculated stroke volume variation (SVV) for goal-directed resuscitation and blood pressure support.
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spelling pubmed-66241192019-07-19 Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach Aldawoodi, Nasrin N Escher, Allan R Ninan, David Patel, Sephalie Y Cureus Anesthesiology Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an extensive, lengthy procedure for patients with peritoneal metastases. It is associated with fairly high morbidity and mortality as compared with other non-vascular intra-abdominal surgeries. Fluid and hemodynamic management is challenging and not well established, particularly in patients with a low ejection fraction (EF). This case details the successful intraoperative anesthetic management of a patient with an ejection fraction of 20% undergoing CRS/HIPEC using the addition of intraoperative transesophageal echocardiography (TEE) as an adjunct to central venous pressure (CVP), urine output (UOP), and calculated stroke volume variation (SVV) for goal-directed resuscitation and blood pressure support. Cureus 2019-07-02 /pmc/articles/PMC6624119/ /pubmed/31328075 http://dx.doi.org/10.7759/cureus.5062 Text en Copyright © 2019, Aldawoodi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Aldawoodi, Nasrin N
Escher, Allan R
Ninan, David
Patel, Sephalie Y
Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach
title Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach
title_full Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach
title_fullStr Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach
title_full_unstemmed Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach
title_short Transesophageal Echocardiography During Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Novel Approach
title_sort transesophageal echocardiography during cytoreductive surgery with hyperthermic intraperitoneal chemotherapy: a novel approach
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6624119/
https://www.ncbi.nlm.nih.gov/pubmed/31328075
http://dx.doi.org/10.7759/cureus.5062
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