Peri-operative Variables Associated With Prolonged Intensive Care Stay Following Cytoreductive Surgery for Ovarian Cancer

2021 ◽  
Vol 41 (6) ◽  
pp. 3059-3065
Author(s):  
ANNA COLLINS ◽  
STEPHANIE SPOONER ◽  
JONATHAN HORNE ◽  
MIRA CHAINRAI ◽  
FRANSCOIS RUNAU ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Intensive Care ◽  
Cytoreductive Surgery ◽  
Intensive Care Stay

Impact of Ascites on the Perioperative Course of Patients With Advanced Ovarian Cancer Undergoing Extensive Cytoreduction: Results of a Study on 119 Patients

2014 ◽  
Vol 24 (3) ◽  
pp. 478-487 ◽  
Author(s):  
Aarne Feldheiser ◽  
Elena-Ioana Braicu ◽  
Tommaso Bonomo ◽  
Anne Walther ◽  
Lutz Kaufner ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Cytoreductive Surgery ◽  
Advanced Ovarian Cancer ◽  
Hospital Length Of Stay ◽  
Time Of Surgery ◽  
Postoperative Intensive Care ◽  
Surgical Data

ObjectiveCytoreductive surgery for epithelial ovarian cancer (EOC) is the cornerstone of multimodal therapy and considered as a high-risk surgery because of extensive multivisceral procedures. In most patients, ascites is present, but its impact on the surgical and clinical outcomes is unclear.MethodsOne hundred nineteen patients undergoing surgical cytoreduction because of EOC between 2005 and 2008 were included. All surgical data and the individual tumor pattern were collected systematically based on a validated documentation tool (intraoperative mapping of ovarian cancer) during primary surgery. The amount of ascites was determined at the time of surgery, and 3 groups were classified (no ascites [NOA, n = 56], low amount of ascites [< 500 mL, n = 42], and high amount of ascites [HAS > 500 mL, n = 21]).ResultsGroup NOA compared with HAS showed less transfusions of packed red blood cells (median [quartiles], 0 [0–2] vs 0 [0–2] vs 3 [1–4] U; P < 0.001) and fresh frozen plasma (median [quartiles], 0 [0–2] vs 0 [0–4] vs 2 [2–6] U; P < 0.001). In addition, in patients with ascites, noradrenaline was administered more frequently and in higher doses. The postoperative length of stay in the intensive care unit was significantly shorter in the NOA versus the group with low amount of ascites and HAS (median [quartiles], 1 [0–1] vs 1 [0–2] vs 2 [1–5] days; P < 0.001). The hospital length of stay is extended in HAS compared with that in NOA (median [quartiles], 16 [13–20] vs 17 [14–22] vs 21 [17–41] days; P = 0.004). Postoperative complications were increased in patients with ascites at the time of surgery (P = 0.007).ConclusionsThe presence of a high amount of ascites at cytoreductive surgery because of EOC is associated with higher amounts of blood transfusions, whereas the length of hospital stay and the postoperative intensive care unit treatment are significantly prolonged compared with those of patients without ascites.

Predictors for a prolonged intensive care stay after heart surgery

2004 ◽  
Vol 52 (S 1) ◽  
Author(s):  
J Sch�ttler ◽  
S Petersen ◽  
A B�ning ◽  
M Brandt ◽  
F Sch�neich ◽  
...  
Keyword(s):  
Intensive Care ◽  
Heart Surgery ◽  
Intensive Care Stay

Nutrition deficit during intensive care stay: incidence, predisposing factors and outcomes

2020 ◽  
Vol 86 (5) ◽  
Author(s):  
Juho P. Nurkkala ◽  
Timo I. Kaakinen ◽  
Merja A. Vakkala ◽  
Tero I. Ala-Kokko ◽  
Janne H. Liisanantti
Keyword(s):  
Intensive Care ◽  
Predisposing Factors ◽  
Intensive Care Stay
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