scholarly journals Utility of lung ultrasound for extravascular lung water volume estimation during cytoreductive surgery and hyperthermic intraperitoneal chemotherapy

2021 ◽  
Vol 65 (6) ◽  
pp. 458
Author(s):  
AmitKumar Mittal ◽  
Jiten Jaipuria ◽  
Anil Patel ◽  
Vishal Bhatnagar ◽  
Rajiv Chawla ◽  
...  
Keyword(s):  
Intraperitoneal Chemotherapy ◽  
Cytoreductive Surgery ◽  
Extravascular Lung Water ◽  
Hyperthermic Intraperitoneal Chemotherapy ◽  
Lung Ultrasound ◽  
Volume Estimation ◽  
Water Volume ◽  
Lung Water

scholarly journals New transpulmonary thermodilution approach to assess hemodynamic changes in patients undergoing open abdominal cytoreductive surgery with hyperthermic intraperitoneal chemotherapy

2019 ◽  
Author(s):  
Myoung Hwa Kim ◽  
Young Chul Yoo ◽  
Sun Joon Bai ◽  
Kang-Young Lee ◽  
Nayeon Kim ◽  
...  
Keyword(s):  
Intraperitoneal Chemotherapy ◽  
Cytoreductive Surgery ◽  
Extravascular Lung Water ◽  
Hyperthermic Intraperitoneal Chemotherapy ◽  
Anesthetic Management ◽  
Resistance Index ◽  
Volume Index ◽  
Physiological Changes ◽  
Lung Water ◽  
Peritoneal Cancer

Abstract Purpose The current treatment of peritoneal cancer combines cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC). The present study aimed to use the VolumeView TM system to investigate the intraoperative physiological changes, including extravascular lung water, in patients undergoing cytoreductive surgery with HIPEC. Methods This prospective, observational study enrolled 21 patients undergoing elective cytoreductive surgery with HIPEC at our hospital between December 2014 and April 2016. In all patients, we applied the VolumeView TM system (Edwards Lifesciences, Irvine, CA). Internal jugular vein and femoral artery accesses were required to monitor hemodynamic parameters. Data were recorded and analyzed before skin incision; 30 min before HIPEC initiation; 30, 60, and 90 min after HIPEC initiation; 30 min after HIPEC completion; and 10 min before surgery completion. Results During HIPEC, patients showed a rise in body temperature, decrease in the systemic vascular resistance index, and increase in cardiac output. The global end-diastolic volume index was 715.4–809.7, and the extravascular lung water index was 6.9–7.3. Rapid insulin (mean, 6.8 units) was administered because of increased glucose levels, and lactate levels steadily increased during HIPEC. Only 1 patient had acute kidney injury postoperatively, and the mean length of hospital stay was 17 days. Conclusion Our study demonstrated the intraoperative physiological changes in patients undergoing open cytoreductive abdominal surgery with HIPEC. Advanced hemodynamic monitoring should be considered for better anesthetic management in these patients.

scholarly journals Lung ultrasound is a reliable method for evaluating extravascular lung water volume in rodents

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Huan Ma ◽  
Daozheng Huang ◽  
Minzhou Zhang ◽  
Xin Huang ◽  
Shiyu Ma ◽  
...  
Keyword(s):  
Extravascular Lung Water ◽  
Reliable Method ◽  
Lung Ultrasound ◽  
Water Volume ◽  
Lung Water

scholarly journals Physiologic and hemodynamic changes in patients undergoing open abdominal cytoreductive surgery with hyperthermic intraperitoneal chemotherapy

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098326
Author(s):  
Myoung Hwa Kim ◽  
Young Chul Yoo ◽  
Sun Joon Bai ◽  
Kang-Young Lee ◽  
Nayeon Kim ◽  
...  
Keyword(s):  
Body Temperature ◽  
Systemic Vascular Resistance ◽  
Vascular Resistance ◽  
Intraperitoneal Chemotherapy ◽  
Cytoreductive Surgery ◽  
Hyperthermic Intraperitoneal Chemotherapy ◽  
Resistance Index ◽  
Volume Index ◽  
Hemodynamic Changes ◽  
Arterial Blood

Objective We aimed to determine the physiological and hemodynamic changes in patients who were undergoing hyperthermic intraperitoneal chemotherapy (HIPEC) cytoreductive surgeries. Methods This prospective, observational study enrolled 21 patients who were undergoing elective cytoreductive surgery with HIPEC at our hospital over 2 years. We collected vital signs, hemodynamic parameters including global end-diastolic volume index (GEVI) and extravascular lung water index (ELWI) using the VolumeView™ system, and arterial blood gas analysis from all patients. Data were recorded before skin incision (T1); 30 minutes before HIPEC initiation (T2); 30 (T3), 60 (T4), and 90 (T5) minutes after HIPEC initiation; 30 minutes after HIPEC completion (T6); and 10 minutes before surgery completion (T7). Results Patients showed an increase in body temperature and cardiac index and a decrease in the systemic vascular resistance index. GEDI was 715.4 (T1) to 809.7 (T6), and ELWI was 6.9 (T1) to 7.3 (T5). Conclusions HIPEC increased patients’ body temperature and cardiac output and decreased systemic vascular resistance. Although parameters that were extracted from the VolumeView™ system were within their normal ranges, transpulmonary thermodilution approach is helpful in intraoperative hemodynamic management during open abdominal cytoreductive surgery with HIPEC. Trial registry name: ClinicalTrials.gov Trial registration number: NCT02325648 URL: https://clinicaltrials.gov/ct2/results?cond=NCT02325648&term

Sclerosing Encapsulating Peritonitis after Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy: Description of 4 Cases

2021 ◽  
Vol 47 (2) ◽  
pp. e14-e15 ◽  
Author(s):  
Fernando Arias-Amézquita ◽  
Eduardo Londoño-Schimmer ◽  
Jorge Miguel Otero-Bernal ◽  
Camilo Cétares ◽  
Martha Mora ◽  
...  
Keyword(s):  
Intraperitoneal Chemotherapy ◽  
Cytoreductive Surgery ◽  
Hyperthermic Intraperitoneal Chemotherapy ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

scholarly journals Cytoreductive Surgery Combined with Hyperthermic Intraperitoneal Chemotherapy for Peritoneal Metastasis from Colorectal Cancer

2020 ◽  
Vol 33 (06) ◽  
pp. 372-376
Author(s):  
Hideaki Yano
Keyword(s):  
Colorectal Cancer ◽  
Intraperitoneal Chemotherapy ◽  
Cytoreductive Surgery ◽  
Peritoneal Metastasis ◽  
Hyperthermic Intraperitoneal Chemotherapy ◽  
Peritoneal Cancer Index ◽  
Systemic Disease ◽  
Good Reason ◽  
Standard Of Care ◽  
Peritoneal Cancer

AbstractPeritoneal metastasis from colorectal cancer (PM-CRC) is used to be considered a systemic and fatal condition; however, it has been growingly accepted that PM-CRC can still be local disease rather than systemic disease as analogous to liver or lung metastasis.Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is now considered an optimal treatment for PM-CRC with accumulating evidence. There is a good reason that CRS + HIPEC, widely accepted as a standard of care for pseudomyxoma peritonei (PMP), could be a viable option for PM-CRC given a similarity between PM-CRC and PMP.Recent years have also seen that modern systemic chemotherapy with or without molecular targeted agents can be effective for PM-CRC. It is possible that neoadjuvant or adjuvant chemotherapy combined with CRS + HIPEC could further improve outcomes.Patient selection, utilizing modern images and increasingly laparoscopy, is crucial. Particularly, diagnostic laparoscopy is likely to play a significant role in predicting the likelihood of achieving complete cytoreduction and assessing the peritoneal cancer index score.

Rectal Tumor With Perineal Invasion and Peritoneal Carcinomatosis: Pelvic Exenteration Followed by Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy - A Case Report

2021 ◽  
Vol 47 (2) ◽  
pp. e61-e62
Author(s):  
Ana Paula Blum Müller ◽  
Jhanna Maria Soto Ruiz ◽  
Patricia León ◽  
Luis Carlos Jimenez ◽  
Karen Cristina Carpio Moreno ◽  
...  
Keyword(s):  
Case Report ◽  
Peritoneal Carcinomatosis ◽  
Intraperitoneal Chemotherapy ◽  
Cytoreductive Surgery ◽  
Hyperthermic Intraperitoneal Chemotherapy ◽  
Pelvic Exenteration ◽  
Rectal Tumor
Sign in / Sign up

Export Citation Format

Share Document