Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control
Background. Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the ter...
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Veröffentlicht in: | HPB Surgery 2012, Vol.2012 (2012), p.189-200 |
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creator | Theodoraki, Kassiani Tympa, Aliki Tsaroucha, Athanassia Arkadopoulos, Nikolaos Vassiliou, Ioannis Smyrniotis, Vassilios |
description | Background. Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the terms “anesthetic,” “anesthesia,” “liver,” “hepatectomy,” “inflow,” “outflow occlusion,” “Pringle,” “hemodynamic,” “air embolism,” “blood loss,” “transfusion,” “ischemia-reperfusion,” “preconditioning,” was performed. Results. Task-orientated anesthetic management, according to the performed method of hepatic vascular occlusion, ameliorates the surgical outcome and improves the morbidity and mortality rates, following liver surgery. Conclusions. Hepatic vascular occlusion techniques share common anesthetic considerations in terms of preoperative assessment, monitoring, induction, and maintenance of anesthesia. On the other hand, the hemodynamic management, the prevention of vascular air embolism, blood transfusion, and liver injury are plausible when the anesthetic plan is scheduled according to the method of hepatic vascular occlusion performed. |
doi_str_mv | 10.1155/2012/720754 |
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Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the terms “anesthetic,” “anesthesia,” “liver,” “hepatectomy,” “inflow,” “outflow occlusion,” “Pringle,” “hemodynamic,” “air embolism,” “blood loss,” “transfusion,” “ischemia-reperfusion,” “preconditioning,” was performed. Results. Task-orientated anesthetic management, according to the performed method of hepatic vascular occlusion, ameliorates the surgical outcome and improves the morbidity and mortality rates, following liver surgery. Conclusions. Hepatic vascular occlusion techniques share common anesthetic considerations in terms of preoperative assessment, monitoring, induction, and maintenance of anesthesia. On the other hand, the hemodynamic management, the prevention of vascular air embolism, blood transfusion, and liver injury are plausible when the anesthetic plan is scheduled according to the method of hepatic vascular occlusion performed.</description><identifier>ISSN: 0894-8569</identifier><identifier>EISSN: 1607-8462</identifier><identifier>DOI: 10.1155/2012/720754</identifier><identifier>PMID: 22690040</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Limiteds</publisher><subject>Review</subject><ispartof>HPB Surgery, 2012, Vol.2012 (2012), p.189-200</ispartof><rights>Copyright © 2012 Aliki Tympa et al.</rights><rights>Copyright © 2012 Aliki Tympa et al. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a4884-a87d5fac6d24f3232aae42b40585df0f82e8071fec5f85c548984a5570d1e0703</citedby><cites>FETCH-LOGICAL-a4884-a87d5fac6d24f3232aae42b40585df0f82e8071fec5f85c548984a5570d1e0703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368350/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368350/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22690040$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Clavien, Pierre-Alain</contributor><creatorcontrib>Theodoraki, Kassiani</creatorcontrib><creatorcontrib>Tympa, Aliki</creatorcontrib><creatorcontrib>Tsaroucha, Athanassia</creatorcontrib><creatorcontrib>Arkadopoulos, Nikolaos</creatorcontrib><creatorcontrib>Vassiliou, Ioannis</creatorcontrib><creatorcontrib>Smyrniotis, Vassilios</creatorcontrib><title>Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control</title><title>HPB Surgery</title><addtitle>HPB Surg</addtitle><description>Background. Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the terms “anesthetic,” “anesthesia,” “liver,” “hepatectomy,” “inflow,” “outflow occlusion,” “Pringle,” “hemodynamic,” “air embolism,” “blood loss,” “transfusion,” “ischemia-reperfusion,” “preconditioning,” was performed. Results. Task-orientated anesthetic management, according to the performed method of hepatic vascular occlusion, ameliorates the surgical outcome and improves the morbidity and mortality rates, following liver surgery. Conclusions. Hepatic vascular occlusion techniques share common anesthetic considerations in terms of preoperative assessment, monitoring, induction, and maintenance of anesthesia. On the other hand, the hemodynamic management, the prevention of vascular air embolism, blood transfusion, and liver injury are plausible when the anesthetic plan is scheduled according to the method of hepatic vascular occlusion performed.</description><subject>Review</subject><issn>0894-8569</issn><issn>1607-8462</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><recordid>eNqFkk1v1DAQhi1ERZfCiTNojwgUOv5KnAtStQJaaaVyAK6W64xZV9l4sRMQ_74TpazoqaexZx6_43k1jL3i8IFzrc8FcHHeCGi0esJWvIamMqoWT9kKTKsqo-v2lD0v5RYAGmPkM3YqRN0CKFixq4sBy7jDMfr1Jg0ldpjdGOm0jsP6Eg9uRD-mfcSyngYqLjmif7jip97l-dmYU_-CnQTXF3x5H8_Y98-fvm0uq-31l6vNxbZyyhhVOdN0Ojhfd0IFKaRwDpW4UaCN7gIEI9BAwwN6HYz2WpnWKKd1Ax1HaECesY-L7mG62WPnkbq73h5y3Lv81yYX7cPKEHf2Z_ptpayN1LPA23uBnH5NNL3dx-Kx792AaSqWAzlKXWtO6PsF9TmVkjEc23Cws_l2Nt8u5hP95v-fHdl_bhPwbgF2cejcn_iI2usFRkIwuCOsWimaub5d6i7mOEZ7m6Y8kPH2K6loLmgRYFEkTQo1F4I2QMLDC01KCZB3RACqdg</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Theodoraki, Kassiani</creator><creator>Tympa, Aliki</creator><creator>Tsaroucha, Athanassia</creator><creator>Arkadopoulos, Nikolaos</creator><creator>Vassiliou, Ioannis</creator><creator>Smyrniotis, Vassilios</creator><general>Hindawi Limiteds</general><general>Hindawi Puplishing Corporation</general><general>Hindawi Publishing Corporation</general><scope>188</scope><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2012</creationdate><title>Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control</title><author>Theodoraki, Kassiani ; Tympa, Aliki ; Tsaroucha, Athanassia ; Arkadopoulos, Nikolaos ; Vassiliou, Ioannis ; Smyrniotis, Vassilios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a4884-a87d5fac6d24f3232aae42b40585df0f82e8071fec5f85c548984a5570d1e0703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Theodoraki, Kassiani</creatorcontrib><creatorcontrib>Tympa, Aliki</creatorcontrib><creatorcontrib>Tsaroucha, Athanassia</creatorcontrib><creatorcontrib>Arkadopoulos, Nikolaos</creatorcontrib><creatorcontrib>Vassiliou, Ioannis</creatorcontrib><creatorcontrib>Smyrniotis, Vassilios</creatorcontrib><collection>Airiti Library</collection><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>HPB Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Theodoraki, Kassiani</au><au>Tympa, Aliki</au><au>Tsaroucha, Athanassia</au><au>Arkadopoulos, Nikolaos</au><au>Vassiliou, Ioannis</au><au>Smyrniotis, Vassilios</au><au>Clavien, Pierre-Alain</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control</atitle><jtitle>HPB Surgery</jtitle><addtitle>HPB Surg</addtitle><date>2012</date><risdate>2012</risdate><volume>2012</volume><issue>2012</issue><spage>189</spage><epage>200</epage><pages>189-200</pages><issn>0894-8569</issn><eissn>1607-8462</eissn><abstract>Background. Hazards of liver surgery have been attenuated by the evolution in methods of hepatic vascular control and the anesthetic management. In this paper, the anesthetic considerations during hepatic vascular occlusion techniques were reviewed. Methods. A Medline literature search using the terms “anesthetic,” “anesthesia,” “liver,” “hepatectomy,” “inflow,” “outflow occlusion,” “Pringle,” “hemodynamic,” “air embolism,” “blood loss,” “transfusion,” “ischemia-reperfusion,” “preconditioning,” was performed. Results. Task-orientated anesthetic management, according to the performed method of hepatic vascular occlusion, ameliorates the surgical outcome and improves the morbidity and mortality rates, following liver surgery. Conclusions. Hepatic vascular occlusion techniques share common anesthetic considerations in terms of preoperative assessment, monitoring, induction, and maintenance of anesthesia. On the other hand, the hemodynamic management, the prevention of vascular air embolism, blood transfusion, and liver injury are plausible when the anesthetic plan is scheduled according to the method of hepatic vascular occlusion performed.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Limiteds</pub><pmid>22690040</pmid><doi>10.1155/2012/720754</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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title | Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control |
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