ANAESTHESIA FOR LAPAROSCOPIC EXCISION OF PHEOCHROMOCYTOMA AND PARAGANGLIOMAS IN PAEDIATRIC POPULATION- OUR INSTITUTIONAL EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 93
Abstract
Pheochromocytoma presents a challenge to the anaesthesiologists because of its clinical features and implications, especially in paediatric population. The most crucial moments are induction and haemodynamic oscillations. Our review aims at discussion of pharmacological strategies regarding perioperative management of paediatric pheochromocytoma in our institution. The objective of this study is to look for various strategies aiding in better perioperative anaesthetic care of pheochromocytoma patients in future. MATERIALS AND METHODS We managed 7 children aged between 8 and 14 years with pheochromocytoma over a period of 9 years from 2006 to 2015. Hypertension, headache and sweating were the most common clinical features noted. Early involvement of anaesthesiologist in preoperative management was achieved with phenoxybenzamine in all the patients. Main anaesthetic drugs used were thiopental sodium, morphine, atracurium, dexmedetomidine and magnesium sulphate. RESULTS There was successful perioperative management of all children. Two of the seven patients underwent intraoperative conversion of surgery to open laparotomy, two had severe post-operative hypotension which was well managed on time and recurrence of pheochromocytoma was seen in one patient. All children were normotensive when discharged. There were no deaths reported on long-term followup. CONCLUSION Adequate preoperative preparation, modern anaesthetic drugs, good collaboration with surgeons and proper post-operative care can improve the outcome and complications.
Authors and Affiliations
Kunigal Ravishankar Chandrakala, Dammaningala Venkataramaiah Bhagya, Yabagodu Ramayya Chandrika
Keywords
Related Articles
- EP ID EP279587
- DOI 10.14260/jemds/2017/1466
- Views 83
- Downloads 0
MAGNITUDE AND CAUSES OF VISUAL IMPAIRMENT AND BLINDNESS AMONG CHILDREN ATTENDING PAEDIATRIC EYE CLINIC AT SANTHIRAM MEDICAL COLLEGE
BACKGROUND The number of blind years resulting from blindness in children is alarmingly high. Blindness in children can have a significant impact on their performance at school as well as their social interactio...
CUTANEOUS MANIFESTATIONS OF LUPUS ERYTHEMATOSUS FROM A TERTIARY CARE CENTRE IN COASTAL KERALA
BACKGROUND The aim of this study was to describe the Lupus Erythematosus (LE)-specific and LE-nonspecific cutaneous manifestations of lupus erythematosus. MATERIALS AND METHODS Cutaneous manifestations of lupus erythemat...
RACIAL ARCHITECTURE OF HUMAN MANDIBLE-AN ANTHROPOLOGICAL STUDY
Skeletal elements are used to quantify variations related to sexual dimorphism. Determination of sex and race in unknown skeletal remains is one of the key biological characteristics used. Mandible is next to p...
A CROSS- SECTIONAL STUDY ON CLINICAL PROFILE OF ALCOHOL INDUCED NEUROLOGICAL MANIFESTATIONS
BACKGROUND Alcohol is the most frequently consumed toxic substance in the world. Alcohol contributes to over 200 diseases and related health conditions, most notably alcohol dependence. Globally, alcohol misuse is the fi...
VISA AMONGST MRSA ISOLATES IN A TERTIARY CARE HOSPITAL IN MANIPUR
BACKGROUND Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of hospital acquired and community-acquired infections. MRSA isolates are important for their resistance to many commonly used antibiotics. V...