Is anesthesia dangerous for a patient who had chemotherapy four weeks back?

Hello,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern. We have to evaluate the patient regarding his overall clinical status. If it is emergency surgery, we have to weigh the risks and benefits of the surgery. So, in this case, I need more information about the patient, like his comorbidities, what kind of surgery he needs, his cardiac status, and the primary disease for which he needed chemotherapy. Would you please give me your answers to these?

Regards.

Hello,

Welcome back to icliniq.com.

Based on your reports (attachments removed to protect the patient's identity), the patient needs surgery on an urgent basis to prevent further neurological damage and compression of the spinal cord and early mobilization and rehabilitation. However, chemotherapeutic agents like Carboplatin are nephrotoxic, and Paclitaxel is also toxic to the lungs. Apart from that, all chemotherapeutic agents cause myelosuppression that is decreased number of blood cells. An anesthesiologist will assess him for a pre-anesthetic check-up if his surgery is scheduled. He will order all the necessary investigations like blood counts, 2D echocardiography, chest X-ray, or computed tomography (CT) scans, and others will be managed accordingly. The anesthesiologist will ensure that surgery has more benefits than harm to the patient. So you should elaborate the detailed history to him whenever you are asked to do so. I am very sure that he will be in good hands.

I hope this answers your question.

Regards.