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Anaesthetic issues in women undergoing gynaecological cytoreductive surgery

Vanacker, Bernard

Current Opinion in Anesthesiology: June 2009 - Volume 22 - Issue 3 - p 362–367
doi: 10.1097/ACO.0b013e3283294c20
Obstetric and gynecological anesthesia: Edited by Marc Van de Velde

Purpose of review Increasing numbers of women with ovarian cancer are undergoing cytoreductive surgery in reference centres. This review looks at this disease in these women and the different aspects of perioperative clinical management of these patients by the anaesthetic team: preoperative screening, anaesthetic techniques, fluid or blood management or both and prevention and treatment of important complications.

Recent findings The outcome for women with ovarian cancer can be influenced not only by the timing of surgery or chemotherapy or both but also by anaesthetic technique, especially by combining general anaesthesia and central neural blockade, by a rational approach to perioperative fluid management and by administration of statins.

Summary Anaesthesia is more than ‘keeping asleep’. Anaesthesiologists have an enormous responsibility in the preoperative, peroperative, and postoperative period for patients undergoing gynaecological cytoreductive surgery.

Department of Anaesthesia, University Hospitals KULeuven, Leuven, Belgium

Correspondence to Bernard Vanacker, MD, PhD, Department of Anaesthesia, University Hospitals KULeuven, U.Z. Gasthuisberg, Herestraat 49, B 3000 Leuven, Belgium Tel: +32 16 344270; e-mail: bernard.vanacker@uz.kuleuven.ac.be

© 2009 Lippincott Williams & Wilkins, Inc.