Name of the Procedure:

Anesthesia for Radical Procedures for Tumor of Pelvis, Except Hindquarter Amputation

• Common Names: Pelvic Tumor Surgery Anesthesia, Pelvic Cancer Surgery Anesthesia
• Technical Terms: Anesthesia for Pelvic Oncological Surgery

Summary

This procedure involves administering anesthesia to a patient undergoing radical surgery to remove a tumor in the pelvis. The anesthesia ensures the patient is unconscious and free of pain during the operation.

Purpose

Anesthesia during radical pelvic tumor surgery is essential to:

• Prevent pain and discomfort.
• Assure the patient remains immobile and unconscious.
• Provide optimal conditions for the surgeon to perform the operation.

Indications

• Diagnosis of a malignant tumor in the pelvic region.
• Symptoms such as severe pain, obstruction, or dysfunction attributed to the pelvic tumor.
• Patients requiring complex surgical intervention to remove pelvic cancer.

Preparation

• Patients may need to fast for several hours prior to the procedure.
• Adjustments or stoppage of certain medications as directed by the healthcare provider.
• Preoperative diagnostic tests such as blood work, imaging studies (MRI, CT), and evaluation by an anesthesiologist.

Procedure Description

1. Preoperative Assessment: An anesthesiologist reviews the patient's medical history, performs a physical exam, and orders necessary tests.
2. Induction: Administration of intravenous medications to induce unconsciousness.
3. Airway Management: Ensuring a stable airway using endotracheal intubation or other devices.
4. Maintenance: Continuous administration of anesthesia agents to maintain unconsciousness throughout the surgery.
5. Monitoring: Continuous monitoring of vital signs (heart rate, blood pressure, oxygen levels) and adjusting anesthesia as needed.
6. Emergence: Gradually reducing anesthetic agents towards the end of the surgery to allow the patient to regain consciousness.

Tools and Equipment: Anesthesia machines, monitoring devices, IV medications, intubation tools.

Duration

The anesthesia typically lasts as long as the surgery, which can range from 3 to 8 hours depending on the complexity.

Setting

The procedure is performed in a hospital, specifically in an operating room equipped for major surgeries.

Personnel

• Anesthesiologist
• Anesthesia Nurse
• Surgical Oncologist
• Surgical Nurses
• Operating Room Technician

Risks and Complications

• Common: Nausea, vomiting, sore throat (from intubation), drowsiness.
• Rare: Allergic reactions, breathing problems, heart complications, nerve damage, awareness during surgery.

Benefits

• Effective pain suppression during surgery.
• Creation of optimal surgical conditions.
• Prevention of physical and psychological trauma during the procedure.
• Rapid and controlled return to consciousness post-surgery.

Recovery

• Close monitoring in a recovery room immediately post-surgery.
• Pain management using medications.
• Gradual resumption of diet and activities as tolerated.
• Follow-up appointments to monitor recovery and manage any complications.

Alternatives

• Local or regional anesthesia (though not suitable for all pelvic tumor surgeries).
• Non-surgical treatments (Chemo, Radiation) depending on the tumor type and stage.
• Each alternative has specific pros and cons; regional anesthesia provides less systemic effect but may not be adequate for extensive surgeries.

Patient Experience

• Patients will be unconscious and should not feel pain during the surgery.
• Post-procedure, patients may experience grogginess, pain at the surgical site, and temporary side effects like nausea.
• Anesthesia teams focus on comfort and pain management post-surgery to ensure a smooth recovery.