Comprehensive management of epithelial ovarian cancer with peritoneal metastases

Table 2 Early postoperative intraperitoneal chemotherapy orders

Paclitaxel ________ mg (20-40 mg/m2× _______ m2) (maximum dose: 80 mg) in_______mL 6% Hespan® (Braun B, Irvine, CA) via the Tenckhoff catheter or IP port daily

Start date: ________________ Stop date: __________________ (For daily doses > 500 mL total volume, pharmacy will split dose equally into two bags)

Instill as rapidly as possible via the Tenckhoff catheter or ip port

Dwell for 23 h

Drain from Jackson-Pratt drains for one hour prior to the next instillation

Continue to drain the abdominal cavity by Jackson-Pratt drains after the last dose of ip chemotherapy

During the initial 6 h after chemotherapy instillation, patient’s bed should be kept flat

The patient should be on the right side during instillation

Turn ½ hour post instillation onto the left side and continue to change sides at ½ hour intervals for 6 h

Monitor with a pulse oximeter during the first 6 h of each intraperitoneal chemotherapy