Zusammenfassung
Onkologische Operationen stellen einen Großteil der chirurgischen Eingriffe dar. Daher
ist es für die anästhesiologische Tätigkeit unabdingbar, Kenntnisse über Nebenwirkungen
und spezielle Risiken onkologischer Therapiekonzepte zu erwerben. Dieser Artikel bietet
eine praxisnahe Grundlage für Anästhesisten in der Betreuung onkologischer Patienten
und stellt Chemo- und Immuntherapeutika und deren anästhesierelevante Nebenwirkungen
vor.
Abstract
Surgical oncology makes up an essential part of all surgical procedures performed.
Anesthetists can contribute significantly to the treatment success by a thorough pre-operative
assessment of patients. Cancer patients are not only in general at higher risk for
thrombosis and anemia but can also suffer from a plethora of adverse effects from
modern cancer drugs. Hence, it is the responsibility of anesthetists to gather knowledge
about the changes in organ systems due to the rapidly increasing list of anti-cancer
agents. This article serves as a review from anesthetists to anesthetists conveying
the important aspects for taking a comprehensive patient history as well as summarizing
the adverse events of major drug classes currently in use in oncology.
Schlüsselwörter
Chemotherapie - Immuntherapie - Anästhesiologie - Prämedikation - Kardiotoxizität
Key words
chemotherapy - immunotherapy - anesthesiology - risk assessment - cardiotoxicity
