Hepatic surgery, even for benign tumors, may be considered a great challenge for the anesthetist. The role of the anesthetist in this surgery is really important, and success is a consequence of a careful evaluation of both the patient and the kind of resection that must be done together with the surgeon.Patient’s evaluation must take into consideration not only comorbidities but also the presence of liver dysfunction, which may affect negatively the intraoperative and postoperative period. The anesthetist must plan anesthesia according to ERAS principles in order to optimize monitoring (concerning devices, vascular access, and CVP), hemodynamics (hypovolemia, air embolism, vasopressors), ventilation (concerning protective ventilation, PEEP, and oxygenation), and pain management (blended anesthesia with epidural, spinal, or paravertebral thoracic block, TAP block, and morphine). These are the main topics which will be discussed in this chapter.
- Pain management
ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)