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Successful Application of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) after Intraoperative Occurrence of Malignant Hyperthermia in a Patient of Uterine Leiomyosarcoma for Cytoreduction Surgery


Affiliations
1 Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India
 

Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is a technique used in combination with cytoreductive surgery to treat various cancers with local spread and not fully resectable. Anaesthetic complications are common during this procedure with disturbances in haemodynamics, coagulation, respiratory gas exchange and impact on various body systems. Sudden increase in temperature may be related to occurrence of Malignant Hyperthermia (MH) and remains a challenge requiring immediate recognition and aggressive management. We hereby report a case of hyperthermia in a patient posted for cytoreduction and HIPEC surgery emphasizing that a prompt identification; rational symptomatic and supportive therapy can be lifesaving.

Keywords

Anaesthesia, Cytoreduction, Hyperthermia, Hyperthermic Intraperitoneal Chemotherapy.
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Abstract Views: 237

PDF Views: 62




  • Successful Application of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) after Intraoperative Occurrence of Malignant Hyperthermia in a Patient of Uterine Leiomyosarcoma for Cytoreduction Surgery

Abstract Views: 237  |  PDF Views: 62

Authors

Rakesh Garg
Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India
Shilpi Agarwal
Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India
Mahima Gupta
Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India
Vinod Kumar
Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India

Abstract


Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is a technique used in combination with cytoreductive surgery to treat various cancers with local spread and not fully resectable. Anaesthetic complications are common during this procedure with disturbances in haemodynamics, coagulation, respiratory gas exchange and impact on various body systems. Sudden increase in temperature may be related to occurrence of Malignant Hyperthermia (MH) and remains a challenge requiring immediate recognition and aggressive management. We hereby report a case of hyperthermia in a patient posted for cytoreduction and HIPEC surgery emphasizing that a prompt identification; rational symptomatic and supportive therapy can be lifesaving.

Keywords


Anaesthesia, Cytoreduction, Hyperthermia, Hyperthermic Intraperitoneal Chemotherapy.

References