ISSN:
1437-9813
Keywords:
Liver tumours
;
Lobectomy
;
Hypothermia
;
Vasodilators
;
Hypoglycaemia
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Liver tumours in children are rare and occur more commonly in infants. This paper reviews our experience and aspects of management important to the anaesthetist in 31 patients who had liver lobectomies. It discusses the rationale for the use of: (1) hypothermia to provide extra protection if hypotension occurs due to blood loss or vena caval occlusion; (2) induced hypotension and vasodilators to reduce bleeding and facilitate cooling; and (3) haemodilution to minimise red cell loss and improve flow during hypothermia. Bleeding is the major operative problem. There was 1 case of intraoperative pulmonary tumour embolism. Postoperatively, hypoglycaemia, hypoproteinaemia, and sepsis can be significant problems.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00173076
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