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[Anaesthesia for endocrine tumor removal].

V Billard1, M Cheikh, S Delaporte-Cerceau

  • 1Département d'anesthésie, institut Gustave-Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif, France. valerie.billard@igr.fr

Annales Francaises D'Anesthesie Et De Reanimation
|May 27, 2009
PubMed
Summary

This review details managing endocrine tumors, focusing on preoperative assessment, intraoperative monitoring, and drug selection. Early recognition and management of physiological changes are crucial for preventing adverse events in patients with neuroendocrine tumors.

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Published on: January 17, 2018

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Anesthesiology

Context:

  • Endocrine tumors present unique challenges due to hormone and protein production.
  • Physiological alterations and adverse events associated with these tumors require specialized knowledge.
  • A comprehensive understanding is vital for early intervention and improved patient outcomes.

Purpose:

  • To review changes induced by endocrine tumors.
  • To describe preoperative assessment strategies.
  • To discuss intraoperative monitoring and anesthetic drug choices for endocrine tumors.

Summary:

  • Preoperative blood pressure control is critical for phaeochromocytoma surgery, followed by intensive fluid management and specific medications during anesthesia.
  • Post-thyroidectomy complications include hematoma and recurrent laryngeal nerve injury.
  • Pituitary surgery risks include air embolism and postoperative complications like diabetes insipidus and CSF leaks. Acromegaly may cause intubation difficulties, while Cushing's syndrome can lead to cardiac failure and infections.
  • Somatostatin analogs are key in managing carcinoid tumors preoperatively and during anesthesia.

Impact:

  • Provides evidence-based guidance for optimizing patient care and reducing perioperative risks.
  • Highlights the importance of multidisciplinary collaboration in managing complex endocrine tumors.
  • Aims to improve surgical outcomes and patient safety through informed anesthetic and surgical planning.