| REVIEW ARTICLE |
|
| Year : 2012 | Volume
: 28
| Issue : 2 | Page : 162-171 |
|
|
Anesthesia and perioperative management of colorectal surgical patients - A clinical review (Part 1)
Santosh Patel1, Jan M Lutz2, Umakanth Panchagnula3, Sujesh Bansal3
1 Department of Anaesthesia, Consultant Anaesthetist, The Pennine Acute Hospitals NHS Trust, Rochdale, United Kingdom
2 Consultant Anaesthetist, Blackpool Victoria Hospital, Blackpool, United Kingdom
3 Consultant Anaesthetist, Central Manchester University Hospitals NHS Foundation Trust, United Kingdom
Correspondence Address:
Santosh Patel
School of Biomedicine The University of Manchester Manchester Academic Health Science Centre The Pennine Acute NHS Trust, Rochdale Infirmary OL12 0NB
United Kingdom
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0970-9185.94831
|
|
|
Colorectal surgery is commonly performed for colorectal cancer and other pathology such as diverticular and inflammatory bowel disease. Despite significant advances, such as laparoscopic techniques and multidisciplinary recovery programs, morbidity and mortality remain high and vary among surgical centers. The use of scoring systems and assessment of functional capacity may help in identifying high-risk patients and predicting complications. An understanding of perioperative factors affecting colon blood flow and oxygenation, suppression of stress response, optimal fluid therapy, and multimodal pain management are essential. These fundamental principles are more important than any specific choice of anesthetic agents. Anesthesiologists can significantly contribute to enhance recovery and improve the quality of perioperative care. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
