Manejo anestésico perioperatorio de pacientes con mesotelioma maligno pleural intervenidos mediante cirugía citorreductora y quimioterapia intratorácica

Tarradas, J.M. Gómez; Fontrodona, Gabriel Pujol; López-Baamonde, Manuel; Sánchez, David; Jiménez, Marcelo; Navarro-Ripoll, Ricard

doi:10.1016/j.redar.2019.03.003

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…These measure 6 aspects of quality: pain intensity and relief; impact of pain on activity, sleep and negative emotions; side effects of treatment; usefulness of pain management information; ability to participate in treatment decisions; and use of nonpharmacological strategies. (Reguero et al, 2021;Gómez Tarradas et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The role of nursing in pain management in patients with terminal cancer

Borja

Vacacela

Barrera

et al. 2023

SIJIS

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Introduction: Treatment with chemotherapy is the most widely used in almost all types of neoplasms, however, the side effects that it triggers affect the patient's style and quality of life, for this reason the nursing staff must know what their intervention should be with these patients. Objective: To analyze the role played by the nursing staff in patients receiving chemotherapy. Methodology: A study was carried out with a qualitative, descriptive approach, non-experimental design, the databases used included search engines such as Scopus, PubMed, eJournals, Google Scholar and Trip Database, Scielo, Ocronos). A total of 27 articles are included. Results: Nursing care for patients undergoing cytostatic therapy must be comprehensive from a holistic approach. In which it allows to cope with activities that are of the utmost importance for the patient such as reducing the risk of phlebitis and extravasation, controlling nausea and vomiting, informing about side effects. In this way it provides physical, emotional, psychological, and practical support. Conclusion: The nursing role is one of the most essential pillars when providing the care required by cancer patients, allowing maintaining the integrity of the skin, achieving optimal nutritional status, attending to the emotional spheres of the patient, reducing the degree of duration of diarrhoea, correct medication administration and effective communication.

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Section: Discussionmentioning

confidence: 99%

The role of nursing in pain management in patients with terminal cancer

Borja

Vacacela

Barrera

et al. 2023

SIJIS

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“…Other blood products might be necessary, but transfusion should be guided with lab or viscoelastic tests. In our experience (18), we used a mean of 4.5 units of PRBC per patient, fresh frozen plasma and platelets on a case-by-case basis.…”

Section: Blood Management/transfusionmentioning

confidence: 99%

Perioperative anaesthetic management of patients undergoing thoracic cytoreductive surgery and HITHOC

Unigarro-Londoño¹,

Navarro-Ripoll²,

Sánchez-Lorente³

et al. 2021

Ann Transl Med

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Historically, patients with pleural malignant mesothelioma have had a poor prognosis and survival rate. Recently, new surgical approaches and chemotherapy delivery techniques have been developed.One of this treatment options is thoracic cytoreductive surgery and HITHOC (hyperthermic intrathoracic chemotherapy perfusion), a promising strategy in selected patients, offering significantly longer median survival length and tumour-free survival rate. However, there is little experience and little is known regarding the optimal perioperative management of this patients. Given that they usually present with poor preoperative status and the surgery is aggressive, prolonged and associated with significant hemodynamic repercussions, this procedure poses a true challenge to the anaesthesiologist. We will discuss optimal patient selection and optimization, as well as premedication, recommended monitoring aspects on top of the usual for any anaesthetic procedure, induction and anaesthetic agents, blood management and one lung ventilation. Also, we expose the importance of adequate pain control during the surgery and postoperatively, the hemodynamic disturbances that occur during the procedure and the potential complications that could occur afterwards. In a few words, this review intends to offer recommendations for the management of patients undergoing cytoreductive surgery and HITHOC for the perioperative care, based on the scarce evidence and our clinical experience.

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