{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T17:47:26Z","timestamp":1767030446181,"version":"3.48.0"},"reference-count":6,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"vor","delay-in-days":85,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Chronic pericardial effusions are a peri\u2010operative challenge as anaesthesia and surgery can precipitate haemodynamic compromise. Guidance for managing patients requiring time\u2010sensitive non\u2010cardiac surgery in this setting is limited. We report the case of a 43\u2010year\u2010old woman with a moderate chronic, asymptomatic pericardial effusion scheduled for robotic anterior resection of rectal cancer. The principal challenge was balancing the need for time\u2010sensitive oncological surgery against the risk of haemodynamic compromise in the context of suboptimal pre\u2010operative cardiology assessment. Surgery proceeded after multidisciplinary discussion, with pre\u2010emptive vasopressor support and intra\u2010operative transoesophageal echocardiography monitoring to guide management. The peri\u2010operative course was stable, and the patient was discharged on postoperative day 4. Two months later, she required pericardial window formation for a persistent effusion which had become symptomatic. This case illustrates that non\u2010cardiac surgery in chronic, asymptomatic pericardial effusion can be performed safely when guided by physiological reasoning, real\u2010time echocardiography and multidisciplinary planning.<\/jats:p>","DOI":"10.1002\/anr3.70031","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T01:23:31Z","timestamp":1758763411000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anaesthetic management of colorectal surgery in a patient with chronic pericardial effusion"],"prefix":"10.1002","volume":"13","author":[{"given":"E.","family":"Ahmad","sequence":"first","affiliation":[{"name":"Shrewsbury and Telford Hospitals NHS Trust  Shrewsbury UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. 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