PMID: 6966532May 1, 1980Paper

Anaesthetic management of a patient with carcinoid tumor undergoing myocardial revascularization

Canadian Anaesthetists' Society Journal
K D Patel, F Y Dalal

Abstract

Carcinoid tumors with hepatic involvement can produce intense flushing, tachycardia, hypotension or hypertension and diarrhoea. Patients with limited cardiac reserve may not tolerate these effects under anaesthesia. Valvular heart disease associated with carcinoid tumors has been reported, but there is no record in the literature of such an association with coronary artery disease. This report presents the anaesthetic management of a patient with coronary artery disease and carcinoid tumor undergoing myocardial revascularization. Emphasis is placed on the rational use of anaesthetic and adjunctive agents which will minimize the incidence of carcinoid symptons. The salient features of the management are prevention of release of vasoactive substances by the use of promethazine hydrochloride during operation, the avoidance of stropine, prophylactic administration of corticosteroids and smooth induction of anaesthesia by the use of diazepam and dimethyl-tubocurarine iodide (Metocurine).

References

Sep 1, 1977·Anesthesiology·J J SavareseR P Antonio
Oct 1, 1976·British Journal of Anaesthesia·R HughesJ P Payne
May 1, 1973·British Journal of Anaesthesia·R W Buckland, A F Avery
Apr 1, 1971·British Journal of Anaesthesia·G R Kelman, B R Kennedy
Apr 1, 1974·The Surgical Clinics of North America·M D Tilson
Sep 1, 1973·Anesthesia and Analgesia·M Lippmann, R J Cleveland
Nov 1, 1973·American Journal of Surgery·C RicciJ Benedetti-Valentini F
Sep 1, 1973·British Journal of Anaesthesia·R M Clark
Mar 1, 1974·British Journal of Anaesthesia·D G Tweedie, P M Ordish
May 1, 1971·Canadian Anaesthetists' Society Journal·R Déry

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.