The Hemodynamic Changes during Continuous Hyperthermic Peritoneal Perfusion.
10.4097/kjae.1995.29.1.88
- Author:
Kyo Sang KIM
1
;
Yoon Kee KIM
;
Sung Hee PARK
Author Information
1. Department of Anesthesiology, College of Medicine, Hanyang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Continuous hyperthermic peritoneal perfusion;
Hemodynamic;
Arterial blood gas;
Body temperature
- MeSH:
Acid-Base Equilibrium;
Acidosis;
Arterial Pressure;
Body Temperature;
Calcium;
Carbon Dioxide;
Central Venous Pressure;
Electrolytes;
Heart Rate;
Hemodynamics*;
Humans;
Oxygen;
Perfusion*;
Potassium;
Sodium;
Stomach Neoplasms;
Vascular Resistance
- From:Korean Journal of Anesthesiology
1995;29(1):88-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Continuous hyperthermic peritoneal perfusion(CHPP) has been used for patients with advanced gastric cancer and peritoneal seeding. Changes in hemodynamic, arterial blood gas, acid-base balance, electrolytes and body temperature were evaluated in 10 patients with advanced gastric cancer during CHPP. 1) Cardiac index, heart rate and mean arterial pressure were significantly increased. Systemic vascular resistance index was significantly increased at 10 min. after start of CHPP and signihcantly decreased after 30 min. Central venous pressure was very increased during CHPP. 2) Arterial oxygen tension was gradually decreased and arterial carbon dioxide tension was not changed. Significant metabolic acidosis was developed during CHPP. 3) Sodium was significantly increased and ionized calcium was significantly decreased. Potassium was not changed. 4) Temperature of midesophagus was increased mean 3.8 degrees C at 50 min. after start of CHPP. In conclusions there were significant changes in hemodynamics, arterial blood gas, acid-base balance, electrolytes and body temperature during CHPP. We should need complete preparation, careful monitoring and attention during and after CHPP.
