Perioperative Care of the Patient with Cancer-References

References

Pdf Summary

The document provides an extensive collection of references related to the perioperative care of cancer patients from 2024 to 2027. It encompasses multidisciplinary aspects crucial for optimizing surgical outcomes and managing complications in this vulnerable population. Key themes include global challenges in delivering effective cancer surgery, cardiovascular evaluation, and management during the perioperative period, addressing risks specific to cancer therapy such as chemotherapy-induced cardiotoxicity, radiation-associated cardiovascular disease, and complications linked to newer treatments like immune checkpoint inhibitors and CAR-T cell therapy.<br /><br />The references emphasize the importance of cardiovascular risk assessment using recent guidelines (e.g., ACC/AHA 2014, ESC 2022), and address management strategies for drug-induced cardiac effects including those from gemcitabine, tyrosine kinase inhibitors, and anthracycline-based chemotherapy. Pulmonary complications, such as fibrosis related to bleomycin and radiotherapy, and the management of malignant pleural effusions also feature prominently.<br /><br />Hematologic issues are highlighted, including perioperative anemia management, blood transfusion strategies, granulocyte colony-stimulating factor use for infection prophylaxis, and the management of thrombosis risks with up-to-date anticoagulation guidelines from ASCO, CHEST, and NCCN. Moreover, hepatic and renal toxicities associated with chemotherapy agents like cisplatin and carboplatin are addressed, alongside electrolyte disturbances.<br /><br />Enhanced focus is placed on infection prevention, supported by references to surgical site infection risk factors and prophylactic measures. The document includes discussions of the impact of diabetes on postoperative infections and reconstructive surgery, as well as the challenges posed by lymphedema.<br /><br />Overall, the references reflect a comprehensive approach to perioperative oncology care, integrating surgical oncology principles, medical management, and supportive care to mitigate treatment-related complications and improve long-term survivorship outcomes.

Keywords

perioperative care

cancer surgery

cardiovascular evaluation

chemotherapy cardiotoxicity

immune checkpoint inhibitors

CAR-T cell therapy

pulmonary complications

hematologic management

infection prevention

perioperative oncology