Work

Goal-directed fluid therapy guided by stroke volume variation and cerebral oximetry during cytoreductive surgery with HIPEC: a case report

Year: 2026

Type: article

Abstract: Cytoreduction with hyperthermic intraperitoneal chemotherapy (HIPEC) is a complex surgical procedure used in the treatment of peritoneal tumors, improving patient prognosis.It involves significant anesthetic challenges such as volume loss, thermal fluctuations, and the risk of metabolic complications.Fluid replacement must be individualized and guided by hemodynamic parameters such as stroke volume variation (SVV) and urine output.Monitoring with FloTrac and NIRS allows continuous assessment of fluid responsiveness and cerebral perfusion.Thermal oscillation requires active warming and cooling measures.Altogether, these precautions promote greater safety during the procedure and contribute to better patient outcomes.

Source: Perioperative Anesthesia Reports

DOI: 10.61724/2965-3681/e00182025

Authors: Gustavo Araújo do Nascimento Santos, Fabrício Tavares Mendonça, Iuri Ferreira Lopes, Grazielle Rodrigues Silva

Institution: Hospital de Base

Language: English

Topic: Hemodynamic Monitoring and Therapy

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W7204181077