Introduction The cancer patient often requires complex diagnostic, therapeutic, and palliative care procedures in nonoperating room (non-OR) sites, which has created an increasing demand for anesthesia services in remote locations outside of the traditional operating room (OR). Remote areas requiring…
Special situations in cancer airway management, including unexpected difficult tracheal intubation, airway bleeding, and extubating a difficult airway, are major challenges in cancer airway management. Although the majority of airway events are managed uneventfully, failure of airway management occurs despite…
Introduction Patients follow a journey through time when they progress from the first symptoms or screening tests, through investigations and receiving a new diagnosis of cancer, to the initiation of treatment and beyond. The notions of “survivorship” and “living with…
The Physiologic Impact of Cancer and Surgery on Patient Function As the volume and complexity of surgical procedures will increase in the next decades, the age and number of associated comorbid conditions of patients presenting for these procedures is also…
Introduction Although many of the goals of preoperative evaluation and optimization are the same for patients with and without cancer, cancer patients present a unique set of challenges that perioperative physicians must be familiar with. The overall goals of preoperative…
What Is Regional Anesthesia? Regional anesthesia may be defined as the administration of local anesthetic drugs around a nerve or plexus of nerves, or anatomical plane through which nerves pass, in order to render a distal site anesthetized. It can…
Introduction Cancer is the second leading cause of death globally, accounting for approximately 9.6 million deaths in 2018. The impact of cancer morbidity is significant and continues to rise, with an annual cost of approximately US$1.16 trillion in 2010. There…
General Introduction: Anesthesia and Cancer Progression Surgery remains a central treatment modality for patients with solid cancers, with more than 60% of cancer patients presenting for surgical resection, and more than 80% of cancer patients exposed to a surgical procedure…
The Perioperative Period Is Critical for Postsurgical Cancer Outcomes Surgery is the primary and often the most effective treatment for many solid tumors. However, even otherwise successful surgeries may disrupt and disseminate tumor cells. Disseminated tumor cells increase the risk…
The Perioperative Period—An Underutilized “Window-of-Opportunity” to Prevent Metastatic Disease The occurrence of metastatic disease is the leading cause of death in most patients with cancer. Accumulating evidence suggests that the perioperative period, days to weeks before and after surgery, is…