Prostate cancer is a frequently diagnosed cancer in men with a high incidence.
Despite enhancements of surgical techniques in prostatectomyperioperative blood loss is still the most frequent complication. Controlled hypotension (MAP 60-70mmHg) consisting of thoracal epidural anaesthesia und restrictive fluid management is a safe method to minimize blood loss. 25 degrees Trendelenburg position supports the multimodal treatment of controlled hypotension. Tranexamic acid is a safe drug to treat hyperfibrinolysis during prostate resection.
Written by:
Strang CM, Hachenberg T. Are you the author?
Reference: Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 Jul;48(7-8):494-501.
doi: 10.1055/s-0033-1352497
PubMed Abstract
PMID: 23929170
Article in German.
UroToday.com Prostate Cancer Section