Hepatic cryotherapy
Clinical Procedure
 
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Hepatic function may range from essentially normal in
patients with isolated lesions to severely compromised in
patients with concomitant liver disease. refl.in/be

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Epidural analgesia is encouraged when no contraindications exist. refl.in/be

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Intravenous PCA in those cases in
which epidural analgesia is refused, otherwise contraindicated, or unsuccessful. refl.in/be

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Cardiac dysrhythmias during cryotherapy near the IVC should be considered
in the differential diagnosis of such events refl.in/be

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Monitor core temperature to avoid hypothermia refl.in/be

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A focused appraisal of nutritional status, previous related procedures and treatments, emotional state, &
perioperative expectations is indicated. refl.in/be

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Consider ventilation in ICU if combined with difficult hepatic resection, significant hypothermia, or has been performed on a patient with marginal
cardiopulmonary reserve refl.in/be

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Possibility of severe postoperative coagulopathy, renal dysfunction, and pulmonary complications. "Cryoshock" refl.in/be

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