Hemicorporectomy anesthesia: case report

INTRODUCTION: Hemicorporectomy progresses with hemodynamic and ventilatory repercussions that make anesthesia management definitive to patient outcome. OBJECTIVE: Report anesthesia approach for a patient with squamous cell carcinoma submitted to urgent hemicorporectomy after an episode of hypovolemi...

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Detalles Bibliográficos
Autores principales: Rego, Cynthia de Oliveira, Feio, Rose Betânia Costa, Carmona, Bruno Mendes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Clinical Information
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373706/
https://www.ncbi.nlm.nih.gov/pubmed/32171500
http://dx.doi.org/10.1016/j.bjane.2020.02.016
Descripción
Sumario:INTRODUCTION: Hemicorporectomy progresses with hemodynamic and ventilatory repercussions that make anesthesia management definitive to patient outcome. OBJECTIVE: Report anesthesia approach for a patient with squamous cell carcinoma submitted to urgent hemicorporectomy after an episode of hypovolemic shock. CASE REPORT: After lesion bleeding, the patient presented hypovolemic shock class 3, and was submitted to urgent procedure under general inhalation anesthesia and intravenous multimodal analgesia, presenting hemodynamic instability requiring massive blood transfusion after spinal cord transection and removal of surgical specimen. CONCLUSION: Anesthetic management is essential in scenarios such as the one reported to assure patient survival.

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