Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Nov 2004
Letter Case Reports[Intrathecal methadone for cancer pain after vulvectomy].
-
Rev Esp Anestesiol Reanim · Oct 2004
[Analysis of bibliographic citations received by Spanish anesthesiologists for work indexed by Science Citation Index, 1988-2002].
To analyze the international impact of articles published by authors in Spanish anesthesiology departments. ⋯ This citation analysis shows the international impact of publications by Spanish anesthesiologists.
-
Rev Esp Anestesiol Reanim · Oct 2004
Review[Anesthesia and postoperative care of 11 patients undergoing peritonectomy and hypothermic intraperitoneal chemotherapy].
Peritoneal carcinomatosis is the final stage of certain malignant tumors located both inside and outside the abdomen. Mortality is high with conventional treatments and the best mean survival rates reported have reached up to 6 months. One technique tried in recent years involves resection of macroscopic parietal and visceral peritoneal lesions (peritonectomy) combined with intra- and postoperative perfusion of the abdominal cavity with hyperthermic chemotherapy to treat residual microscopic lesions. ⋯ The main complications are related to the long duration of surgery, bleeding secondary to the many surgical resections, and hyperthermia caused by the chemical agents. The therapeutic process, therefore, is not risk-free and involves high rates of morbidity and mortality. We describe the anesthetic and postoperative management of the first 11 cases in which this procedure was carried out at our hospital, analyzing the main complications arising.