Avaliação de Risco Cirúrgico em Doentes de Câncer

Detalhes bibliográficos
Autor(a) principal: Santos, César Lima
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4121
Resumo: The evaluation of the surgical risk in patients with câncer must take into account, not only the pathology related to the malignant growth, but also the presence of associated diseases. Age, nutrition, mental status and the type of the operation planned are factors that influence the rates of morbidity and mortality. Anemia, nutritional deviations and endocrine disfunctions must be corrected and controlled in a short time. Severe hepatic and renal insuficiency, as diagnosed by clinical and laboratory methods, are absolute contra indications to major surgery. Patients with pulmonary insufficiency do not survive lung ressections. They are poor risks for abdominal surgery unless carefully prepared throug thecniques for the management of bronchospasm and for the liquefaction and elimination of tracheobronchial secretions. Tracheostomy may be advantageous, in selected cases, if performed previously to surgery. Congestive heart failure, acute myocardial infarction during the first six weeks, chronic cor pulmonale, constrictive pericarditis, are absolute contra indications to major surgery. The drug treatment of patients with malignant hypertension should be continued throught out the whole surgical procedure in order to prevent sudden, dangerous blood pressure rises and vascular disaster. All types of arrhythmias should be controlled preoperatively because they may precipitate ventricular tachycardia, ventricular fibrillation and death.
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spelling Avaliação de Risco Cirúrgico em Doentes de CâncerProcedimentos Cirúrgicos OperatóriosComplicações IntraoperatóriasMedição de RiscoNeoplasias/enfermagemSurgical Procedures, OperativeIntraoperative ComplicationsRisk AssessmentNeoplasms/nursingProcedimientos Quirúrgicos OperativosComplicaciones IntraoperatoriasMedición de RiesgoNeoplasias/enfermeríaThe evaluation of the surgical risk in patients with câncer must take into account, not only the pathology related to the malignant growth, but also the presence of associated diseases. Age, nutrition, mental status and the type of the operation planned are factors that influence the rates of morbidity and mortality. Anemia, nutritional deviations and endocrine disfunctions must be corrected and controlled in a short time. Severe hepatic and renal insuficiency, as diagnosed by clinical and laboratory methods, are absolute contra indications to major surgery. Patients with pulmonary insufficiency do not survive lung ressections. They are poor risks for abdominal surgery unless carefully prepared throug thecniques for the management of bronchospasm and for the liquefaction and elimination of tracheobronchial secretions. Tracheostomy may be advantageous, in selected cases, if performed previously to surgery. Congestive heart failure, acute myocardial infarction during the first six weeks, chronic cor pulmonale, constrictive pericarditis, are absolute contra indications to major surgery. The drug treatment of patients with malignant hypertension should be continued throught out the whole surgical procedure in order to prevent sudden, dangerous blood pressure rises and vascular disaster. All types of arrhythmias should be controlled preoperatively because they may precipitate ventricular tachycardia, ventricular fibrillation and death.A avaliação do risco cirúrgico em cancerosos deve ser feita levando-se em conta, não só as repercussões somáticas da neoplasia, mas tamhém as de outras doenças intercorrentes. A idade, o estado de nutrição, o estado mental e o tipo de intervenção programada são fatores que modificam os índices de morbidade e letalidade. A correção dos desvios nutritivos, da anemia e das disfunções endócrinas deverá ser feita a curto prazo. A insuficiência hepâtica, assim como a renal, de caráter grave, comprovadas clinica e laboratorialmente, são contra-indicações absolutas à cirurgia de monta. Os portadores de insuficiência respiratória, toleram mal cirurgia torácica e, quando em preparo para cirurgia abdominal, devem ser submetidos a tratamento intensivo de espasmo brônquico e à limpeza da árvore respiratória. Em casos selecionados deve recorrer-se à traqueotomia pré-operatória, que é mais útil e melhor tolerada quando executada dias antes do ato cirúrgico principal. A insuficiência cardíaca congestiva descompensada, o infarto do miocárdio nas primeiras 6 semanas, o cor pulmonale crônico, a pericardite constritiva e as miocardites constituem contra-indicações absolutas. Os hipertensos com cifras tensionais elevadas devem receber hipotensores antes e no dia do ato operatório, pois estão sujeitos, de outra forma, a verdadeiras catástrofes vasculares. As arritmias devem ser dominadas, cuidadosamente, porque podem trazer complicações que levam à descompensação cardíaca, à taquicardia ventricular, à fibrilação ventricular e à morte.INCA2023-08-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/412110.32635/2176-9745.RBC.1966v22n32.4121Revista Brasileira de Cancerologia; Vol. 22 No. 32 (1966): Dec.; 75-90Revista Brasileira de Cancerologia; Vol. 22 Núm. 32 (1966): dic.; 75-90Revista Brasileira de Cancerologia; v. 22 n. 32 (1966): dez.; 75-902176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/4121/2921Copyright (c) 2023 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, César Lima2023-08-21T21:08:53Zoai:rbc.inca.gov.br:article/4121Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-08-21T21:08:53Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Avaliação de Risco Cirúrgico em Doentes de Câncer
title Avaliação de Risco Cirúrgico em Doentes de Câncer
spellingShingle Avaliação de Risco Cirúrgico em Doentes de Câncer
Santos, César Lima
Procedimentos Cirúrgicos Operatórios
Complicações Intraoperatórias
Medição de Risco
Neoplasias/enfermagem
Surgical Procedures, Operative
Intraoperative Complications
Risk Assessment
Neoplasms/nursing
Procedimientos Quirúrgicos Operativos
Complicaciones Intraoperatorias
Medición de Riesgo
Neoplasias/enfermería
title_short Avaliação de Risco Cirúrgico em Doentes de Câncer
title_full Avaliação de Risco Cirúrgico em Doentes de Câncer
title_fullStr Avaliação de Risco Cirúrgico em Doentes de Câncer
title_full_unstemmed Avaliação de Risco Cirúrgico em Doentes de Câncer
title_sort Avaliação de Risco Cirúrgico em Doentes de Câncer
author Santos, César Lima
author_facet Santos, César Lima
author_role author
dc.contributor.author.fl_str_mv Santos, César Lima
dc.subject.por.fl_str_mv Procedimentos Cirúrgicos Operatórios
Complicações Intraoperatórias
Medição de Risco
Neoplasias/enfermagem
Surgical Procedures, Operative
Intraoperative Complications
Risk Assessment
Neoplasms/nursing
Procedimientos Quirúrgicos Operativos
Complicaciones Intraoperatorias
Medición de Riesgo
Neoplasias/enfermería
topic Procedimentos Cirúrgicos Operatórios
Complicações Intraoperatórias
Medição de Risco
Neoplasias/enfermagem
Surgical Procedures, Operative
Intraoperative Complications
Risk Assessment
Neoplasms/nursing
Procedimientos Quirúrgicos Operativos
Complicaciones Intraoperatorias
Medición de Riesgo
Neoplasias/enfermería
description The evaluation of the surgical risk in patients with câncer must take into account, not only the pathology related to the malignant growth, but also the presence of associated diseases. Age, nutrition, mental status and the type of the operation planned are factors that influence the rates of morbidity and mortality. Anemia, nutritional deviations and endocrine disfunctions must be corrected and controlled in a short time. Severe hepatic and renal insuficiency, as diagnosed by clinical and laboratory methods, are absolute contra indications to major surgery. Patients with pulmonary insufficiency do not survive lung ressections. They are poor risks for abdominal surgery unless carefully prepared throug thecniques for the management of bronchospasm and for the liquefaction and elimination of tracheobronchial secretions. Tracheostomy may be advantageous, in selected cases, if performed previously to surgery. Congestive heart failure, acute myocardial infarction during the first six weeks, chronic cor pulmonale, constrictive pericarditis, are absolute contra indications to major surgery. The drug treatment of patients with malignant hypertension should be continued throught out the whole surgical procedure in order to prevent sudden, dangerous blood pressure rises and vascular disaster. All types of arrhythmias should be controlled preoperatively because they may precipitate ventricular tachycardia, ventricular fibrillation and death.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4121
10.32635/2176-9745.RBC.1966v22n32.4121
url https://rbc.inca.gov.br/index.php/revista/article/view/4121
identifier_str_mv 10.32635/2176-9745.RBC.1966v22n32.4121
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4121/2921
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 22 No. 32 (1966): Dec.; 75-90
Revista Brasileira de Cancerologia; Vol. 22 Núm. 32 (1966): dic.; 75-90
Revista Brasileira de Cancerologia; v. 22 n. 32 (1966): dez.; 75-90
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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