Hemodynamic and Cardiac Function Parameters During Heated Intraoperative Intraperitoneal Chemotherapy Using the Open ?Coliseum Technique?

Esquivel, Jesús; Angulo, Francisco; Bland, Rebecca K.; Stephens, A. D.; Sugarbaker, Paul H.

doi:10.1007/s10434-000-0296-2

Cited by 93 publications

(111 citation statements)

References 6 publications

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“…A major issue is the observed hemodynamic instabilities even in low-ASA score patients. 7 Therefore, understanding the pathophysiologic changes that may be triggered by HIPEC is important in order to adjust standard resuscitation protocols.…”

mentioning

confidence: 99%

Hemodynamic Monitoring During Heated Intraoperative Intraperitoneal Chemotherapy Using the FloTrac/Vigileo System

Mavroudis¹,

Alevizos²,

Stamou³

et al. 2015

International Surgery

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Cytoreductive surgery with HIPEC has provided a chance for long-term survival in selected patients. However, perioperative management remains a challenge for the anesthesiology team. The aim of this study was to evaluate the changes in hemodynamic parameters during hyperthermic intraperitoneal chemotherapy (HIPEC) using the FloTrac/ Vigileo system. Forty-one consecutive patients undergoing cytoreductive surgery and HIPEC were enrolled. Heart rate (HR), esophageal temperature, and cardiac output (CO) steadily increased until the end of HIPEC. In the first half of HIPEC, systolic blood pressure (SBP) and central venous pressure (CVP) increased whereas systemic vascular resistance (SVR) decreased; SVR stabilized in the second half. Diastolic blood pressure (DBP), mean arterial pressure (MAP), and stroke volume (SV) showed no significant variation. Male gender was related to increased CVP, CO, and SV, and decreased SVR; age .55 years was related to increased SBP, and peritoneal cancer index (PCI) was correlated with HR, DBP, and SV. PCI .14 was associated with increased HR and decreased DBP and MAP. American Society of Anesthesiologists score .1 was related to decreased CO and SV. Patients undergoing HIPEC develop a hyperdynamic circulatory state because of the increased temperature, characterized by a steady decrease in SVR and continuous increase in HR and CO. FloTrac/Vigileo system may provide an easy-to-handle, noninvasive monitoring tool.

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mentioning

confidence: 99%

Hemodynamic Monitoring During Heated Intraoperative Intraperitoneal Chemotherapy Using the FloTrac/Vigileo System

Mavroudis¹,

Alevizos²,

Stamou³

et al. 2015

International Surgery

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show abstract

“…substanciais devido à drenagem da ascite e a grande superfície peritoneal cruenta. 4 Essa superfície peritoneal, funciona como membrana de troca de calor, causando uma tendência à hipotermia durante todo o período de ressecção peritoneal e de remoção de neoplasia macroscópica.…”

Section: Discussionunclassified

“…4 Como consequência do aumento da pressão intra-abdominal, podem ocorrer alterações hemodinâmicas, resultando numa menor oferta de oxigênio sistêmica. Para minimizar os efeitos deletérios dessas alterações hemodinâmicas, o anestesista deve procurar manter normovolemia.…”

Section: Introductionunclassified

Peritonectomia com quimioterapia intraperitoneal hipertérmica: relato de caso e considerações anestésicas<br>doi: 10.20513/2447-6595.2016v56n2p47-50

Maia

Oliveira

et al. 2016

Rev. Med. UFC

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RESUMOO pseudomixoma peritoneal (PMP) é um carcinoma de baixo grau de malignidade, frequentemente relacionado a neoplasias epiteliais de apêndice e ovário. O PMP apresenta melhora da sobrevida em cinco anos quando tratado com cirurgia citorredutora (CCR) associada a quimioterapia hipertérmica intraperitoneal (QtHIP), em comparação ao tratamento com quimioterapia sistêmica isolada. Paciente masculino, 35 anos, com dor na fossa ilíaca direita nos últimos 2 anos. Foi submetido a apendicectomia videolaparoscópica cujo anatomopatológico diagnosticou pseudomixoma peritoneal. Foi, então, submetido à cirurgia citorredutora temperatura corporal e da glicemia capilar, recebendo o devido manejo clínico. No pós-operatório, evoluiu com quadro infeccioso e foi tratado para coleção abdominal presumida. Recebeu alta hospitalar após 23 dias de internação. Palavras-chave:Anestesia. Hipertermia induzida. Cuidados intraoperatórios. Neoplasias peritoneais. Pseudomixoma peritoneal. ABSTRACTPeritoneal pseudomyxoma (PPM) is a low malignancy carcinoma, often related to epithelial neoplasms of the appendix and intraperitoneal chemotherapy (HIPEC) compared to standard systemic chemotherapy. Male patient, 35 years old, with right pseudomyxoma. He was then subjected to cytoreductive surgery associated with hyperthermic intraperitoneal chemotherapy.managed. Postoperative evolved with signs of infection which was treated for presumed abdominal collection. The pacient was discharged from hospital after 23 days of hospitalization.

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“…Bu fazda kalp hızı ve kardiyak output artarken, sıcaklığın artması ile birlikte sistemik vasküler rezistansta düşme meydana gelir. Kardiyak outputtaki artış, pulmoner arter kateteri ya da transözofagiyal ekokardiyografi ile gösterilebilir (16,17). Vücudun sıcaklığa ilk tepkisi periferik vazodilatasyondur.…”

Section: Hemodi̇nami̇k Ve Metaboli̇k Durumunclassified

“…Ancak, kalbin her atımında kardiyak outputu ölçebilen, nabız şekli analiz yöntemleriyle ekstravasküler akciğer volümü ya da nonkardiyojenik akciğer ödemi hakkında bilgi sahibi olunabilir. Arteriyal kateterizasyon, CVP ve idrar sondası gibi standart monitörizasyon tekniklerinin yanı sıra, sıvı durumu hakkında bilgi edinmek için kalibrasyon gerektirmeyen arteryal dalga şekline göre kardiyak output ölçebilen yeni teknolojiler ile özofagiyal eko ya da doppler gibi daha az invazif yöntemlerden yararlanılabilir (7,17). CVP kardiyak önyükün ve volüm durumunun zayıf bir göstergesidir.…”

Section: Hemodi̇nami̇k Ve Metaboli̇k Durumunclassified

Sitoreduktif Cerrahi ve HIPEK’te Anestezi ve Perioperatif Bakim

2017

GMJ

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Hemodynamic and Cardiac Function Parameters During Heated Intraoperative Intraperitoneal Chemotherapy Using the Open ?Coliseum Technique?

Cited by 93 publications

References 6 publications

Hemodynamic Monitoring During Heated Intraoperative Intraperitoneal Chemotherapy Using the FloTrac/Vigileo System

Hemodynamic Monitoring During Heated Intraoperative Intraperitoneal Chemotherapy Using the FloTrac/Vigileo System

Peritonectomia com quimioterapia intraperitoneal hipertérmica: relato de caso e considerações anestésicas<br>doi: 10.20513/2447-6595.2016v56n2p47-50

Sitoreduktif Cerrahi ve HIPEK’te Anestezi ve Perioperatif Bakim

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