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- Shikhar More, Riniki Sarma, Brajesh Ratre, and Sachidanand Jee Bharati.
- From the Department of Onco-Anaesthesia and Palliative Medicine, Dr Bhimrao Ramji Ambedkar Institute Rotary Cancer Hospital (BRAIRCH).
- A A Pract. 2021 Feb 5; 15 (2): e01391.
AbstractCytoreductive surgery with hyperthermic intraperitoneal chemotherapy is associated with significant volume shifts and requires meticulous hemodynamic management. The conventional and arbitrary "liberal" and "restrictive" fluid regimens are now being challenged. With increasing recognition of the need to individualize perioperative fluid therapy, dynamic assessment of fluid status and hemodynamic response to administration of fluids have become vital. Herein, we describe a case in which point of care ultrasound of the carotid artery and derived parameters were used to guide intraoperative fluid management. We discuss the reliability of this technique and the potential advantages it could offer.Copyright © 2021 International Anesthesia Research Society.
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