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Article: Anaesthesia for urological surgery

TitleAnaesthesia for urological surgery
Authors
Issue Date2012
PublisherElsevier Ltd. for The Medicine Publishing Company. The Journal's web site is located at http://www.anaesthesiajournal.co.uk/
Citation
Anaesthesia and Intensive Care Medicine, 2012, v. 13 n. 7, p. 343-347 How to Cite?
AbstractAnaesthesia is commonly used to facilitate urological procedures and many patients are elderly with multiple co-morbidities. Urological procedures range from minor day case to major surgery in which extensive resources are needed both intra- and postoperatively. For simple day case procedures like cystoscopy or ureteroscopy, general anaesthesia is most commonly used because it allows for early ambulation. Transurethral resection of the prostate (TURP) needs special attention. TURP syndrome due to excessive absorption of the irrigation fluid can be catastrophic if not managed early. Avoiding contributing factors and choosing regional anaesthesia which allows for early detection are key. Careful perioperative planning and risk stratification is important in major urological cancer surgery. Most of these procedures will require general anaesthesia (due to longer operative time and more extensive surgical trauma). Postoperative pain management in the form of epidural or patient controlled multimodal analgesia are essential. Postoperative high-dependency care is beneficial.
Persistent Identifierhttp://hdl.handle.net/10722/184446

 

DC FieldValueLanguage
dc.contributor.authorAlaali, HAen_US
dc.contributor.authorIrwin, MGen_US
dc.date.accessioned2013-07-15T09:46:33Z-
dc.date.available2013-07-15T09:46:33Z-
dc.date.issued2012en_US
dc.identifier.citationAnaesthesia and Intensive Care Medicine, 2012, v. 13 n. 7, p. 343-347en_US
dc.identifier.urihttp://hdl.handle.net/10722/184446-
dc.description.abstractAnaesthesia is commonly used to facilitate urological procedures and many patients are elderly with multiple co-morbidities. Urological procedures range from minor day case to major surgery in which extensive resources are needed both intra- and postoperatively. For simple day case procedures like cystoscopy or ureteroscopy, general anaesthesia is most commonly used because it allows for early ambulation. Transurethral resection of the prostate (TURP) needs special attention. TURP syndrome due to excessive absorption of the irrigation fluid can be catastrophic if not managed early. Avoiding contributing factors and choosing regional anaesthesia which allows for early detection are key. Careful perioperative planning and risk stratification is important in major urological cancer surgery. Most of these procedures will require general anaesthesia (due to longer operative time and more extensive surgical trauma). Postoperative pain management in the form of epidural or patient controlled multimodal analgesia are essential. Postoperative high-dependency care is beneficial.-
dc.languageengen_US
dc.publisherElsevier Ltd. for The Medicine Publishing Company. The Journal's web site is located at http://www.anaesthesiajournal.co.uk/-
dc.relation.ispartofAnaesthesia and Intensive Care Medicineen_US
dc.rightsNOTICE: this is the author’s version of a work that was accepted for publication in Anaesthesia and Intensive Care Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Anaesthesia and Intensive Care Medicine, 2012, v. 13 n. 7, p. 343-347. DOI: 10.1016/j.mpaic.2012.04.010-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleAnaesthesia for urological surgeryen_US
dc.typeArticleen_US
dc.identifier.emailAlaali, HHAHA: hazem@hku.hken_US
dc.identifier.emailIrwin, MG: mgirwin@hku.hken_US
dc.identifier.authorityIrwin, MG=rp00390en_US
dc.description.naturepostprint-
dc.identifier.doi10.1016/j.mpaic.2012.04.010-
dc.identifier.hkuros216265en_US
dc.identifier.volume13en_US
dc.identifier.issue7en_US
dc.identifier.spage343en_US
dc.identifier.epage347en_US

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