ISSN: 2155-6148
Martin Goodman
Tanzania
Research Article
Impact of Intraoperative Anesthetic and Fluid Management on 30-day Postoperative Outcomes in a Newly Established Surgical Peritoneal Surface Malignancy Program
Author(s): Roman Schumann, Geoffrey Wilson, Stefan Hariskov, David Buck, Martin Goodman, Konstantin Balonov, Iwona Bonney and W. Heinrich WurmRoman Schumann, Geoffrey Wilson, Stefan Hariskov, David Buck, Martin Goodman, Konstantin Balonov, Iwona Bonney and W. Heinrich Wurm
Background: Anesthetic and fluid management during cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) may influence 30-day postoperative outcomes. We investigated intraoperative management differences and their relation to outcomes in all consecutive patients undergoing HIPEC and CRS following the first 2 years after initiation of this surgical oncology program in a single center. Methods: Following IRB approval we retrospectively recorded demographics, intraoperative anesthetic and fluid management and 30-day postoperative cardiopulmonary, renal, infectious, neurologic, and surgical complications, mortality and length-of-stay in patients undergoing CRS and HIPEC. The Chi-square, Fisher’s exact and Wilcoxon two-sample tests were used for statistics. A p < 0.05 was significant. Results: We identified 34 patients with a mean age of 53.9 ± 1.. View More»
DOI:
10.4172/2155-6148.1000244