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Optimized Anesthesia During Cystectomy Improves Postoperative Outcome: A Review of the Key Points

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Keys to Successful Orthotopic Bladder Substitution

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Abstract

This chapter reviews the key points to be considered for optimizing anesthesiology during radical cystectomy with urinary diversion aimed at reducing blood loss, lowering the postoperative complication rate, and improving functional results in patients with orthotopic bladder substitution. These goals can be achieved mainly through the use of thoracic epidural analgesia requiring minimal administration of opioids intra- and postoperatively combined with continuous administration of norepinephrine, facilitating restrictive deferred intraoperative fluid management aiming a zero fluid balance.

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Authors and Affiliations

  1. Department of Anaesthesiology and Pain Medicine, Bern University Hospital, Berne, CH-3010, Switzerland

    Patrick Y. Wuethrich MD

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  1. Patrick Y. Wuethrich MD
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Correspondence to Patrick Y. Wuethrich MD .

Editor information

Editors and Affiliations

  1. Department of Urology, University Hospital Bern Inselspital, Bern, Switzerland

    Urs E. Studer

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Wuethrich, P.Y. (2015). Optimized Anesthesia During Cystectomy Improves Postoperative Outcome: A Review of the Key Points. In: Studer, U. (eds) Keys to Successful Orthotopic Bladder Substitution. Springer, Cham. https://doi.org/10.1007/978-3-319-12382-0_3

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  • DOI: https://doi.org/10.1007/978-3-319-12382-0_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-12381-3

  • Online ISBN: 978-3-319-12382-0

  • eBook Packages: MedicineMedicine (R0)

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