Anaesthesia, Intensive Care, and Pain Management for the Cancer Patient

One in three people will develop some kind of cancer in their lifetime. The overall cancer incidence has increased by 25% since 1975 and with anaesthetic involvement in hospital interactions estimated at around 75%, anaesthetists have major input into the care of the cancer patient. This input may start with the preoperative assessment and operation, but often extends to the intensive-care unit and the management of pain resulting from either the disease or from treatment interventions. This book is comprised of four main sections dealing with: cancer per se, anaesthesia for cancer surgery, intensive care, and pain management. The chapters are authored by acknowledged specialists in their field and are designed to break down what is often a complex area into comprehensible principles for treatment and management for the non-specialist. The anaesthesia section discusses not just major surgery but includes the specific and subtle differences that exist in the diverse types of specialist cancer surgery. The chapters related to pain deal with the current status of several specific cancer pain problems with contemporary evidence, recent developments in management, and novel ways of looking at conventional treatments such as the genetic aspects of opioid use. Concise and accessible chapters cover five key sections of patient care Emphasizes key reference points within the text for further reading Each section has a specialist sub editor to maintain consistency Paul Farquhar-Smith , Consultant in Pain, Anaesthetics and Intensive Care, The Royal Marsden Hospital, London, UK, and Tim Wigmore , Consultant in Intensive Care Medicine and Anaesthesia, The Royal Marsden Hospital, London, UK CONTENTS Section 1 1: Haematological malignancy: a rough guide 2: Cancer biology and treatment: a molecular and therapeutic overview Section 2 Anaesthesia for specific surgeries and other interventions 3: Preassessment for major cancer surgery 4: Perioperative fluid management for major cancer surgery 5: Anaesthesia for CT, MRI, PET scan, radiotherapy and other interventions 6: Vascular access and anaesthesia for vascular access 7: Anaesthesia for head and neck cancer surgery 8: Anaesthesia for upper GI cancer surgery 9: Anaesthesia for cancer liver surgery 10: Anaesthesia for plastic reconstructive and free flap surgery 11: Anaesthesia for surgery for gynaecological malignancy 12: Anaesthesia for urological cancer surgery Section 3 Malignant disease and critical care 13: Bone marrow transplantation and implications for critical care 14: Outcomes for patients with cancer in critical care 15: Implications of chemotherapy for critical care patients 16: Interactions between critical illness management and cancer growth and spread 17: Ethical consideration for treatment Section 4 Cancer and pain 18: Acute pain management of patients taking opioids 19: Bone pain 20: Breakthrough pain 21: Opioid switching and the genetics of opioid sensitivity 22: Paediatric cancer pain 23: Complementary therapies in cancer pain 24: Pain in cancer survivors