Anesthetic management of a patient with insulinoma
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 2
Abstract
Insulinomas are an uncommon cause for recurrent hypoglycemia. Surgical resection is the definitive treatment. We present a case of a36-year-old male patient diagnosed with insulinoma and right parathyroid adenoma who had history of recurrent hypoglycemic attacks and giddiness. Laparoscopic enucleation of the tumor was undertaken. Perioperative management of blood sugar in these patients is of utmost importance. As anesthesiologists, our target is to prevent severe hypoglycemic episodes which may lead to permanent neurological damage and severe hyperglycemia post procedure which has to be managed by titrating the dose of insulin and dextrose
Authors and Affiliations
Sanil R Madkaiker, Pramod V Bhale, Nagraju Gaddam, Namrata Patil
Keywords
Related Articles
- EP ID EP261014
- DOI -
- Views 176
- Downloads 0
Effect of intravenous dexamethasone on the duration of action of supraclavicular block
Background: Supraclavicular block is a popular and widely employed regional nerve block of the upper extremity. Duration of action and possible variations in it can be a limiting factor for use of this technique. Dexamet...
Combination of tranexamic acid and dexmedetomidine reduces postoperative blood loss in patients undergoing bilateral total knee replacement - A randomized controlled study
Background: Total knee replacement in adults is associated with significant blood loss, often requiring allogenic blood transfusion. Tranexamic acid (TEA) reduces blood loss and red cell transfusions in patients undergoi...
Comparison of intracuff dexamethasone, lignocaine and normal saline on post extubation response - A prospective study
Background: Endotracheal intubation, being a definitive method has been known to cause post-intubation airway related adverse effects, including postoperative cough, restlessness, hoarseness, sore throat, bronchospasm, a...
Challenges of managing a post-arrest resuscitated patient for urgent CABG and concomitant non-cardiac surgery under same anaesthesia
Background: Coronary artery disease is a leading cause of morbidity and mortality.2016 Heart disease and Stroke Statistics of AHA reported 15.5 million people more than 20 years in USA have CAD, number increasing with ag...
Effect of spinal anaesthesia on perioperative hyperglycemia in diabetic patients undergoing lower limb orthopaedic surgeries
Background and Aims: Surgery evokes stress response resulting in increased secretion of counter-regulatory hormones (catecholamines, cortisol, glucagon, and growth hormone) and excessive release of inflammatory cytokines...