{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T18:06:58Z","timestamp":1763662018581,"version":"3.41.0"},"reference-count":45,"publisher":"Open Medical Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Calciphylaxis is a serious and rare medical condition that leads to substantial clinical manifestations including pain, creating perioperative and treatment challenges. No standard treatment protocol exists nor are comprehensive guidelines available for perioperative management of patients with calciphylaxis. In this review, we evaluate existing literature (January 2000 to May 2021) with the aim to offer guidance for treating patients with this challenging disease through the perioperative period. Although no therapies are currently considered standard for treating calciphylaxis, multiple interventions are available for improving symptoms. Preoperative and intraoperative management involves monitoring and optimizing patient comorbid conditions and any possible electrolyte imbalances. Postoperative management can be challenging when potential calciphylaxis triggers are indicated, such as warfarin and corticosteroids. In addition, poor wound healing and difficult pain control are common. Therefore, a multifactorial approach to controlling postoperative pain is recommended that includes the use of nerve blocks, renal-sparing opioids, benzodiazepines, and\/or ketamine. We present preoperative, intraoperative, and postoperative recommendations for treating calciphylaxis with levels of evidence when appropriate.<\/jats:p>","DOI":"10.52965\/001c.37573","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T02:30:09Z","timestamp":1661394609000},"source":"Crossref","is-referenced-by-count":2,"title":["Perioperative Management of Calciphylaxis: Literature Review and Treatment Recommendations"],"prefix":"10.52965","volume":"14","author":[{"given":"Natalie","family":"Strand","sequence":"first","affiliation":[{"name":"Mayo Clinic Arizona","department":["Anesthesiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jillian","family":"Maloney","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona","department":["Anesthesiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Wu","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly","family":"Kraus","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona","department":["Anesthesiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rick","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Gomez","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Char","sequence":"additional","affiliation":[{"name":"Rutgers","department":["Anesthesiology"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30777","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"101456","DOI":"10.1016\/j.eucr.2020.101456","article-title":"Penile calciphylaxis: A severe case managed with partial penectomy","volume":"34","author":"Kerry Adler","year":"2021","journal-title":"Urology Case Reports","ISSN":"https:\/\/id.crossref.org\/issn\/2214-4420","issn-type":"print"},{"issue":"3","key":"ref2","doi-asserted-by":"publisher","first-page":"ytab060","DOI":"10.1093\/ehjcr\/ytab060","article-title":"New-onset acute rapidly deteriorating case of calciphylaxis after open heart surgery: a case report","volume":"5","author":"Mohammad El Diasty","year":"2021","journal-title":"European Heart Journal - Case Reports","ISSN":"https:\/\/id.crossref.org\/issn\/2514-2119","issn-type":"print"},{"issue":"2","key":"ref3","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1213\/01.ane.0000121960.22554.d7","article-title":"Anesthetic management of patients with severe peripheral ischemia due to calciphylaxis","volume":"99","author":"Takafumi Horishita","year":"2004","journal-title":"Anesthesia &amp; Analgesia","ISSN":"https:\/\/id.crossref.org\/issn\/0003-2999","issn-type":"print"},{"issue":"4","key":"ref4","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1097\/00005537-200004000-00012","article-title":"Calciphylaxis: is there a role for parathyroidectomy?","volume":"110","author":"Mark D. 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