Anesthetic management for cytoreductive surgery of pseudomyxoma peritonei with high intra-abdominal pressure: A case report

Anesthetic management for patients of pseudomyxoma peritonei (PMP) is challenging. This case report describes a patient of PMP with high intra-abdominal pressure. Intubation was performed in lateral position; the intraabdominal pressure was relieved slowly to prevent significant hemodynamic changes....

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Bibliographic Details
Published in:Frontiers in surgery 2023-01, Vol.9, p.1017500
Main Authors: Lin, Yan-Jun, Lu, Liang-Yuan, Tao, De-Qiang, Yang, Zhan-Min
Format: Article
Language:English
Subjects:
anesthetic management
cytoreductive surgery
hyperthermic intraperitoneal chemotherapy
intra-Abdominal hypertension
pseudomyxoma peritonei
Surgery
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Summary:Anesthetic management for patients of pseudomyxoma peritonei (PMP) is challenging. This case report describes a patient of PMP with high intra-abdominal pressure. Intubation was performed in lateral position; the intraabdominal pressure was relieved slowly to prevent significant hemodynamic changes. Additionally, positive pressure ventilation was performed to reduce the risk of re-expansion pulmonary edema. During the operation, transfusion and infusion therapy was performed with target-mediated fluid therapy according to stroke volume variation (SVV) and cardiac index (CI) and blood gas analysis.
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2022.1017500