Anesthetic management of a child undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for recurrent embryonal rhabdomyosarcoma: A case report.
- 1Department of Anesthesia, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Abstract
This case report explains the perioperative anesthetic management of a 7-year-old child experiencing recurrent abdominopelvic embryonal rhabdomyosarcoma. The patient is scheduled for cytoreductive surgery as well as hyperthermic intraperitoneal chemotherapy. This case was regarded as challenging due to the chemotherapy and radiotherapy executed previously, compromise in terms of nutrition, anticipated fluid movements, thermal stress and scheduled postoperative intensive care. Preoperative echocardiography affirmed the preserved biventricular function. Anesthesia utilized balanced usual anesthesia, invasive monitoring of the arterial pressure, access to the central venous, monitoring of cardiac output, esophageal temperature with thoracic epidural analgesia. Intraoperative priorities included hemodynamic stability, thermal control, electrolyte with surveillance of acid and base, readiness of blood products, and multimodal analgesia. The child was shifted intubated to the pediatric intensive care unit and extubated post-24 hours. This case underscores the value of systematic planning, advanced phenomenon of monitoring and multimodal cooperation in rare pediatric CRS-HIPEC anesthesia.
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BibTeX
@article{alansari2026anesthetic,
title = {{Anesthetic management of a child undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for recurrent embryonal rhabdomyosarcoma: A case report.}},
author = {Meaad A Alansari and Osamah Arafah and Hossam Beshara},
journal = {Saudi journal of anaesthesia},
year = {2026},
month = oct,
doi = {10.4103/sja.sja_552_26},
url = {https://europepmc.org/article/MED/42960332},
note = {CC BY-NC-SA},
}
RIS
TY - JOUR
TI - Anesthetic management of a child undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for recurrent embryonal rhabdomyosarcoma: A case report.
AU - Meaad A Alansari
AU - Osamah Arafah
AU - Hossam Beshara
PY - 2026
DA - 2026/10/01
JO - Saudi journal of anaesthesia
DO - 10.4103/sja.sja_552_26
UR - https://europepmc.org/article/MED/42960332
AB - This case report explains the perioperative anesthetic management of a 7-year-old child experiencing recurrent abdominopelvic embryonal rhabdomyosarcoma. The patient is scheduled for cytoreductive surgery as well as hyperthermic intraperitoneal chemotherapy. This case was regarded as challenging due to the chemotherapy and radiotherapy executed previously, compromise in terms of nutrition, anticipated fluid movements, thermal stress and scheduled postoperative intensive care. Preoperative echocardiography affirmed the preserved biventricular function. Anesthesia utilized balanced usual anesthesia, invasive monitoring of the arterial pressure, access to the central venous, monitoring of cardiac output, esophageal temperature with thoracic epidural analgesia. Intraoperative priorities included hemodynamic stability, thermal control, electrolyte with surveillance of acid and base, readiness of blood products, and multimodal analgesia. The child was shifted intubated to the pediatric intensive care unit and extubated post-24 hours. This case underscores the value of systematic planning, advanced phenomenon of monitoring and multimodal cooperation in rare pediatric CRS-HIPEC anesthesia.
SN - 1658-354X
SN - 0975-3125
ER -