Anaesthesia for Pancreatic Surgery - 27/02/22

Doi : 10.1016/j.anclin.2021.11.005

Leigh J.S. Kelliher, MBBS, BSc, FRCA, MD ^a,^⁎ , Anton Krige, MBChB, DIMC, FRCA, FFICM ^b
^a Department of Anaesthetics, Royal Surrey County Hospital NHS Foundation Trust, Egerton Road, Guildford, Surrey, GU2 7AS, UK
^b Department of Anaesthesia and Critical Care, Royal Blackburn Teaching Hospital, Haslingden Road, Blackburn BB2 3HH, UK

^∗Corresponding author.

Resumen

This article provides a broad perspective on the salient perioperative issues encountered when caring for patients undergoing pancreatic surgery in the setting of pancreatic cancer. It describes the epidemiology of pancreatic cancer, the indications for and evolution of pancreatic resection surgery, the challenges faced perioperatively including patient selection, optimization, anesthetic considerations, postoperative analgesia, fluid management, and nutrition and discusses some of the common complications and their management. It finishes by outlining the future directions for research and development required to continue improving outcomes for these patients.

El texto completo de este artículo está disponible en PDF.

Keywords : ERAS, Enhanced recovery, Fast track, Pancreaticoduodenectomy, Whipple’s procedure, Pancreatic cancer