关于肿瘤麻醉和肿瘤重症监护的学习基于问题讨论

English | 2024 | ISBN: 9819963389 | 377 Pages | PDF EPUB (True) | 20 MB

​The book provides an insight into relevant anatomy, epidemiology, chemotherapeutic agents used in specific cancers and adverse effects, preoperative assessment and optimization, perioperative challenges specific to the procedure, fluid management, anesthetic techniques perioperative pain management options, post-operative complications and management of oncosurgical cases in detail. It provides information regarding management of oncological emergencies such as tumour lysis syndrome, acute stridor, SVC syndrome, malignant spinal cord compression, febrile neutropenia. It includes some cases for palliative/diagnostic procedures, such as, PTBD, portal vein embolization, ERCP and stenting. It covers the pre-anesthetic examination relevant to a particular case that helps in planning the anesthetic technique, such as, head and neck cancer history of drooling of saliva, breathlessness, change in the voice, inability to lie supine. Additionally, the book discusses certain controversial topics of interest such as TIVA vs inhalational in oncosurgeries, restrictive vs liberal blood transfusion, liberal vs restrictive vs goal directed fluid therapy, perioperative blood transfusion and cancer.

该书详细介绍了相关的解剖学、流行病学知识，特定癌症使用的化疗药物及其副作用，术前评估与优化，手术过程中特有的挑战，液体管理，麻醉技术及围手术期疼痛管理选项，术后并发症及肿瘤外科病例的处理细节。它还提供了关于处理肿瘤紧急情况的信息，如肿瘤溶解综合征、急性喉鸣、上腔静脉压迫综合症、恶性脊髓压迫和发热性中性粒细胞减少症的具体信息。书中还包括一些用于姑息治疗或诊断程序的案例，比如PTBD、门脉栓塞术、ERCP及支架植入等。此外，该书还讨论了一些感兴趣的争议话题，包括肿瘤外科中的TIVA（目标导向静脉麻醉）与吸入麻醉之间的比较、限制性输血和激进性输血之间的比较以及在围手术期中采用放宽式或目标导向式液体管理与积极式液体管理的效果比较，并探讨了围手术期的输血问题及癌症的影响。

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