Anesthesia & Clinical Research
Open Access

Tikuišis R

Publications

• Case Report
  Pulmonary Insufficiency after Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy Procedures for Peritoneal Carcinomatosis in Patients with Colon Cancer: A Case Report and Literature Review
  
  Author(s): Lukoševiciene V, Miliauskas P, Tikuišis R, Rudinskaite G, Samalavicius NE and Šumauskas RLukoševiciene V, Miliauskas P, Tikuišis R, Rudinskaite G, Samalavicius NE and Šumauskas R
  
  Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) has emerged as an efficient treatment for patients with colorectal peritoneal metastases (PM). Pulmonary adverse events (AEs) are common after CRS and HIPEC. This report covers the case of a pulmonary adverse event, ARDS (acute respiratory distress syndrome), and its effect on the postoperative recovery process. Cytoreductive surgery with HIPEC was performed on a 68-year-old woman E. G. with carcinoma coecum and carcinomatosis. On the first day after surgery, the patient was not extubated because of respiratory insufficiency. We chose the liberal fluid management in order to maintain adequate organ perfusion, but this strategy might have influenced the outcome in this patient. Throughout the procedure that lasted 16 hours and 25 minutes the total dosage of the IV infusion was 19.7 ml/kg/h. ARDS was diag.. View More»
  DOI: 10.4172/2155-6148.1000546

  Abstract

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