Overview
Anesthesia and perioperative pain control of patients, who are scheduled to undergo a limb-sparing surgery, necessitate an individualized pain control protocol. It is tailored according to the extent and duration of surgery, as well as requirements of the immediate postoperative patient care. Effects of preoperative chemotherapy and radiation therapy must also be evaluated and considered. The intraoperative use of regional anesthesia, either alone or in combination with general anesthesia, and postoperative use of regional anesthesia and patient-controlled analgesia using the intravenous or epidural routes, are emphasized.
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References
Mihalo RM, Cagle CK, Cronau LH Jr et al. Preanesthetic evaluation of the cancer patient. Cancer Bull. 1995;47:8–12.
Zaloga PZ, Prough DS. Fluids and electrolytes. In: Barash PG, Cullen BF, Stoelting RK, editors. Clinical Anesthesia, 2nd edn. Philadelphia, PA: JB Lippincott; 1992:203–36.
American Society of Anesthesiologists Task Force on Pain Management. Cancer Pain Section: Practice guidelines for cancer pain management. Anesthesiology. 1996;84:1243–57.
Bolles RC, Fanselow MA. Perceptual defensive-recuperative model of fear and pain. Behav Brain Sci. 1980;3:291–323.
Jones RM. Desflurane and sevoflurane: inhalation anaesthetics for this decade? Br J Anaesth. 1990;65:527–36.
Jones RM. Anaesthetic considerations in patients with malignancy. In: Keneally JP, Jones MR, editors. Proceedings of the 11th World Congress of Anaesthesiologists, April 1996, Sydney, Australia. Rosebery, UK: BridgePrintery Pty Ltd; 1996:212–21.
Bountra C, Gale JD, Gardner CJ et al. Towards understanding the aetiology and pathophysiology of the emetic reflex: novel approaches to antiemetic drugs. Oncology. 1996;53(Suppl. 1):102–9.
Heslin MJ, Gaynor JJ, Newman E et al. Effect of perioperative blood transfusion on recurrence and survival in 232 primary high-grade extremity sarcoma patients. Ann Surg Oncol. 1994;l:189–97.
Hudson RJ. Basic principles of clinical pharmacology. In: Barash PG, Cullen BF, Stoelting RK, editors. Clinical Anesthesia, 3rd edn. Philadelphia, PA: Lippincott-Raven; 1997:221–42.
Monk CR, Coates DP, Prys-Roberts C et al. Haemodynamic effects of a prolonged infusion of propofol as a supplement to nitrous oxide anaesthesia. Br J Anaesth. 1987;59:954–60.
Reves JG, Fragen RJ, Vinik HR, Greenblatt DJ. Midazolam: pharmacology and uses. Anesthesiology. 1985;62:310–24.
Hobbhahn J, Funk W. Sevoflurane in pediatric anesthesia. Anaesthetist. 1996;45(Suppl. 1):S22–7.
Davis PJ, Cohen IT, McGowan FX, Jr, Latta K. Recovery characteristics of desflurane versus halothane for maintenance of anesthesia in pediatric ambulatory patients. Anesthesiology. 1994;80:298–302.
Flacke JW, Bloor BC, Kripe BJ etal. Comparison of morphine, meperidine, fentanyl and sufentanyl in balanced anesthesia: a double-blind study. Anesth Analg. 1985;64:897–910.
Flordal PA, Berggvist D, Burmark US et al. Risk factors for major thromboembolism and bleeding tendency after elective general surgical operations. The Fragmin Multicentre Study Group. Eur J Surg. 1996;162:783–89.
Dunn CJ, Sorkin EM. Dalteparin sodium. A review of its pharmacology and clinical use in the prevention of thromboembolic disorders. Drugs. 1996;52:276–305.
Vandermeulen EP, Van Aken H, Vermylen J. Anticoagulants and spinal-epidural anesthesia. Anesth Analg. 1994;79:1165–77.
Yaster M, Maxwell LG. Pediatric regional anesthesia. Anesthesiology. 1989;67:324–38.
Wang JK, Nauss LA, Thomas JE. Pain relief by intrathecally applied morphine in man. Anesthesiology. 1979;50:149–51.
Lonsdale M. 3-in-1 block: confirmation of Winnie’s anatomical hypothesis. Anesth Analg. 1988;67:601–2.
Chang PC, Lang SA, Yip RW. Reevaluation of the sciatic nerve block. Reg Anesth. 1993;18:18–23.
Hord AH. Phantom pain. In: Raj PP, editor. Practical Management of Pain, 2nd edn. St Louis, MO: Mosby Year Book; 1992:505–16.
Devor M. The pathophysiology of damaged peripheral nerves. In: Wall PD, Melzack R, editors. Textbook of Pain, 3rd edn. London: Churchill-Livingstone; 1994:79–100.
Melzack R. Phantom limbs. Sci Am. 1992;266:120–6.
Katz J, Melzack R. Pain “memories” inn phantom limbs. Review and clinical observations. Pain. 1990;43:319–36.
Bach S, Norang MF, Tjellden NU. Phantom limb pain in amputees during the first twelve months following limb amputation, after preoperative lumbar epidural blockade. Pain. 1988;33:297–301.
Monga TN, Jaksic T. Acupuncture in phantom limb pain. Arch Phys Med Rehabil. 1981;32:229–31.
Miles J. Surgical procedures for the relief of pain. Pharmacol Ther. 1983;12(Suppl.):89–98.
Warfield CA, Kahn CH. Acute pain management. Programs in US hospitals and experiences and attitudes among US adults. Anesthesiology. 1995;83:1090–4.
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Weinbroum, A., Marouani, N., Lang, E., Niv, D., Wittig, J., Rudick, V. (2004). Anesthesia and Perioperative Pain Management for Limb-sparing Surgery. In: Musculoskeletal Cancer Surgery. Springer, Dordrecht. https://doi.org/10.1007/0-306-48407-2_35
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DOI: https://doi.org/10.1007/0-306-48407-2_35
Publisher Name: Springer, Dordrecht
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