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Hemodynamic parameters following pelvic exenteration.

J W Orr, H M Shingleton, S J Soong

    American Journal of Obstetrics and Gynecology
    |August 15, 1983
    PubMed
    Summary
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    This study monitored hemodynamic parameters in pelvic exenteration patients, finding that continuous cardiovascular monitoring helped maintain stable function and prevent complications. This approach is crucial for reducing perioperative morbidity and mortality.

    Area of Science:

    • Cardiovascular Physiology
    • Surgical Oncology

    Background:

    • Pelvic exenteration is a complex surgical procedure with potential for significant hemodynamic instability.
    • Effective perioperative management is critical to minimize morbidity and mortality.

    Purpose of the Study:

    • To prospectively evaluate hemodynamic parameters during and after pelvic exenteration.
    • To assess the impact of cardiovascular monitoring on patient outcomes.

    Main Methods:

    • Hemodynamic parameters were monitored using a pulmonary artery catheter in 31 patients.
    • Data collection occurred during the intraoperative and acute postoperative (<48 hours) periods.
    • Fluid management included crystalloid, colloid, and blood products.

    Main Results:

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    • Cardiovascular function parameters remained within physiologic ranges for most patients.
    • Mean operative time was 5.5 hours with a mean volume replacement of 21.6 ml/kg/hr.
    • No patients experienced cardiovascular or respiratory failure.

    Conclusions:

    • Continuous cardiovascular monitoring facilitates prompt diagnosis and intervention for potential complications.
    • This monitoring strategy is believed to significantly contribute to the observed low perioperative morbidity and mortality.
    • Effective hemodynamic management is key to successful pelvic exenteration outcomes.