oa Southern African Journal of Anaesthesia and Analgesia - Hemodynamic effects of sevoflurane versus propofol anesthesia for laparoscopic radiofrequency ablation of liver tumors : scientific letter



Extracted from text ... Southern African Journal of Anaesthesia & Analgesia ? October 2006 149 SCIENTIFIC LETTER THE EDITOR Curative liver resection is suitable for only 10-20% of patients with metastatic liver cancer.1 Several interstitial ablation techniques have been employed for the treatment of inoperable hepatic neoplasm.2 Laparoscopic cryo-ablation of the liver caries the risk of hemodynamic instability, due to bleeding, hypothermia and reperfusion injury.3-4 This may be worsened by the cardiovascular effects of laparoscopy and anaesthetic agents.5-7 As opposed to cryoablation, laparoscopic radiofrequency ablation (LRFA) has not been associated with hemodynamic instability.8 Sevoflurane may attenuate arterial baroreflex function during anesthesia, which may ..


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