ISSN: 2155-6148
Linda Korley
Tanzania
Research Article
Anesthetic Considerations for Management of Cancer Patients to Decrease
Cancer Recurrence
Author(s): Krzysztof Laudanski, Rose Wei and Linda KorleyKrzysztof Laudanski, Rose Wei and Linda Korley
Alongside the known direct, short-term effects of anesthesia in general, there is emerging evidence of an immunomodulatory effect with specific anesthetics that may decrease patient’s defences against malignant neoplastic growths. This effect is especially important in the setting of surgical management of neoplasms, which is often the best option for long-term survival in patients with solid neoplasm. Many studies have speculated on the best anesthetic technique to reduce the neoplasm recurrence and promote patient survival, however, we often neglect the sympathetic stress response to neoplasia and how anesthetics modulate this effect. In this review, we study the evidence as it pertains to anesthetic techniques and pain control, particularly general vs. regional anesthesia, and opioid analgesia. At this time there is not enough evidence to support that regional anesthesia has .. View More»
DOI:
10.4172/2155-6148.1000678