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Intensive Care

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Exocrine Pancreatic Cancer

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Abstract

Three problems are posed in particular by intensive care in pancreatic cancer.

  • Immunonutritional deficiency: is generally rapid in onset and severe, and is responsible for morbidity and/or mortality. Estimates of its severity must be made, and it must be adjusted efficiently and rapidly by means of pre- and postoperative nutritional support.

  • Pain: is often a presenting symptom of pancreatic cancer. It is congruent with the invasion of the tumor, and is also frequently associated with palliative surgery. When performed immediately following surgery, efficient analgesic treatment can comfort the patient while minimizing the risk of respiratory complications normally associated with upper abdominal surgery.

  • Organic predisposition: is difficult to define. The perioperative risks are likely to be related either to age or to associated cardiovascular, respiratory, or metabolic dysfunction. Surely, when age plays a role, the major risk factor is respiratory insufficiency, which requires attentive preparation prior to surgery.

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Authors
  1. F. d’Athis
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  2. J. J. Eledjam
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Editors and Affiliations

  1. Chirurgie Digestive, Hôpital Caremeau, Centre hospitalier régional et universitaire de Nîmes, Rue du Prof. Robert-Debré, F-30006, Nîmes, France

    Hughes Baumel  & Bernard Deixonne  & 

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© 1986 Springer-Verlag Berlin Heidelberg

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d’Athis, F., Eledjam, J.J. (1986). Intensive Care. In: Baumel, H., Deixonne, B. (eds) Exocrine Pancreatic Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71178-7_10

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  • DOI: https://doi.org/10.1007/978-3-642-71178-7_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71180-0

  • Online ISBN: 978-3-642-71178-7

  • eBook Packages: Springer Book Archive

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