A practical approach to the patient receiving chemotherapy and anaesthesia
AbstractIt is predicted that by the year 2030, South Africa could see the incidence of cancers rise by at least 85%.1 The ever-increasing incidence of cancer locally and globally, as well as the improved fields of oncotherapy, have increased the frequency of cancer patients presenting for surgery. Malignancies as a group account for 13% of deaths annually with the commonest sites being lung, colorectal, breast and prostate. Patients with an ongoing malignant process may present for anaesthesia for non-cancer related surgery or for cancer surgery that has an urgency for surgical treatment. While not true emergencies, these patients may not be able to wait a long time for investigations that could delay surgery and allow for cancer spread.2
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