Abstract
The patient with advanced malignancy presents many potential peri-operative problems for the anaesthetist which can have a significant effect on peri-operative management and outcome. Mortality after palliative surgery is high (12–30%) and mean survival time is short. There is also significant morbidity associated with surgery in this patient population. This article aims to provide a useful framework for the clinical anaesthetist when managing a palliative care patient. The general and specific conditions encountered in these patients will be reviewed including cachexia, nausea and vomiting and the anatomical and physiological effects of tumours. Also reviewed are specific emergency situations which may arise in this patient population.
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