Zusammenfassung
Onkologische Operationen stellen einen Großteil der chirurgischen Eingriffe dar. Daher ist es für die anästhesiologische Tätigkeit unabdingbar, Kenntnisse über Nebenwirkungen und spezielle Risiken onkologischer Therapiekonzepte zu erwerben. Dieser Artikel bietet eine praxisnahe Grundlage für Anästhesisten in der Betreuung onkologischer Patienten und stellt Chemo- und Immuntherapeutika und deren anästhesierelevante Nebenwirkungen vor.
Abstract
Surgical oncology makes up an essential part of all surgical procedures performed. Anesthetists can contribute significantly to the treatment success by a thorough pre-operative assessment of patients. Cancer patients are not only in general at higher risk for thrombosis and anemia but can also suffer from a plethora of adverse effects from modern cancer drugs. Hence, it is the responsibility of anesthetists to gather knowledge about the changes in organ systems due to the rapidly increasing list of anti-cancer agents. This article serves as a review from anesthetists to anesthetists conveying the important aspects for taking a comprehensive patient history as well as summarizing the adverse events of major drug classes currently in use in oncology.
Schlüsselwörter
Chemotherapie - Immuntherapie - Anästhesiologie - Prämedikation - Kardiotoxizität
Key words
chemotherapy - immunotherapy - anesthesiology - risk assessment - cardiotoxicity
