Intraoperative Hypotension Increased Risk in the Oncological Patient

Islam Mohammad Shehata; Amir Elhassan; David Alejandro Munoz; Bryan Okereke; Elyse M Cornett; Giustino Varrassi; Farnad Imani; Alan David Kaye; Saloome Sehat-Kashani; Ivan Urits; Omar Viswanath

doi:10.5812/aapm.112830

Intraoperative Hypotension Increased Risk in the Oncological Patient

Anesth Pain Med. 2021 Feb 24;11(1):e112830. doi: 10.5812/aapm.112830. eCollection 2021 Feb.

Authors

Islam Mohammad Shehata¹, Amir Elhassan², David Alejandro Munoz³, Bryan Okereke⁴, Elyse M Cornett⁵, Giustino Varrassi⁶, Farnad Imani⁷, Alan David Kaye⁵, Saloome Sehat-Kashani⁷, Ivan Urits^{5

8}, Omar Viswanath^{5

9

10

11}

Affiliations

¹ Department of Anesthesiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
² Department of Anesthesia, Desert Regional Medical Center, Palm Springs, CA, USA.
³ University of Florida, College of Agriculture and Life Sciences, Gainesville, FL, USA.
⁴ Department of Pharmacy, Desert Regional Medical Center, Palm Springs, CA, USA.
⁵ LSU Health Shreveport, Department of Anesthesiology, Shreveport, LA, USA.
⁶ Paolo Procacci Foundation, Via Tacito 7, Roma, Italy.
⁷ Pain Research Center, Department of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran.
⁸ Southcoast Health, Southcoast Physicians Group Pain Medicine, Wareham, MA, USA.
⁹ University of Arizona College of Medicine-Phoenix, Department of Anesthesiology, Phoenix, AZ, USA.
¹⁰ Creighton University School of Medicine, Department of Anesthesiology, Omaha, NE, USA.
¹¹ Valley Pain Consultants - Envision Physician Services, Phoenix, AZ, USA.

Abstract

Patient safety advocacy involves avoiding, preventing, and amelioration of adverse outcomes or injuries caused by the process of healthcare rather than a patient's underlying medical illness. Intraoperative hypotension (IOH), a common morbid event, reduces perfusion to critical organs and tissues and has a wide incidence, depending on how it is defined. IOH has adverse intraoperative and postoperative consequences, which make its prevention important to improve patient outcomes. Certain populations have even greater consequences related to IOH, and clinicians must understand these risks. In this narrative review, we examine the risk of intraoperative hypotension in the oncological patient population.

Keywords: Anesthetic Fluid Deficits; Cancer; Carcinoid Crisis; General Anesthesia; Intraoperative Hypotension; Oncological Surgery; Post-Induction Hypotension.

Publication types

Review