Anaesthetic challenges in carotid body tumour resection: a case report and review of literature

Malliwal, Anuradha; Mohite, Shubha N; Doshi, Nishma; Bakhshi, Rochana G

doi:10.18203/2320-6012.ijrms20151466

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…given before clamping as a preventive measure to thromboembolic phenomenon and stroke. [2,[8][9][10] Inj. Xylocard 60 mg i.v.…”

Section: Access This Article Onlinementioning

confidence: 99%

“…Reported incidence 1-2/1,00,000 population. [2] The tumor is usually benign but may turn malignant by local invasion. Metastasis may even lead to death hence surgical excision has to be performed at the earliest.…”

Section: Introductionmentioning

confidence: 99%

“…Surgical excision of the tumor poses several anesthetic challenges and a high incidence of perioperative morbidity and mortality (20-40%). [2,3] This case report is to highlight the anesthetic management and the problems encountered during CBT excision such as hemodynamic fluctuations and cardiac arrhythmias.…”

Section: Introductionmentioning

confidence: 99%

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Carotid Body Tumor Resection – A Case Report

R¹,

Menon²,

Ranjitha³

2021

JMSH

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Carotid body tumours (CBT) are considered rare. Surgical excision is the treatment of choice and poses many anaesthetic challenges especially in large tumours. In this paper we present our experience of anaesthetic management of CBT excision since very few cases have been reported so far. Preoperative planning and multiple contingency plans to ensure secure airway, cerebral protection, mange haemodynamic fluctuation are utmost important. A high degree of vigilance should be continued in the postoperative period to detect stroke or identify other cranial nerve deficits. With a team approach to management of CBT, operative complications can be minimized with a good outcome.

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“…given before clamping as a preventive measure to thromboembolic phenomenon and stroke. [2,[8][9][10] Inj. Xylocard 60 mg i.v.…”

Section: Access This Article Onlinementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Carotid Body Tumor Resection – A Case Report

R¹,

Menon²,

Ranjitha³

2021

JMSH

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Anesthetic aspects of the resection of hormone-active carotid chemodectomas: a clinical case and literature review

Kurbasov

Shmigel'skiy

Akhmedov

et al. 2020

Vestn. anesteziol. reanimatol.

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The article describes a clinical case - the resection of the hormone- active tumor of the carotid glomus. The hormonal activity of the tumor was suspected based on data of the patient's history, (malignant arterial hypertension with sharp rises in arterial tension, episodes of the increased arterial tension during mechanical impact on the tumor) and hemodynamic parameters during surgery (heart rhythm disturbances after induction of anesthesia and pronounced hypertensive reactions when manipulating the tumor tissue). The article reviews publications on anesthetic support during the resection of hormone-active chemodectomas.Detection of typical clinical signs such as hypertension, tachycardia, fever, headaches, etc. in the history of patients with chemodectoma may suggest hormonal activity of the tumor. Biochemical tests that determine the level of catecholamines and their breakdown products can confirm the diagnosis. When planning surgery, the anesthesiologist should be prepared for the development of the relevant complications. Hypertension, as the most frequent complication, should be prevented by preoperative adrenergic blockers and treated intraoperatively with short-acting antihypertensive drugs. After exclusion of the tumor from the bloodstream, it is necessary to prepare for the development of hypotension.

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Anaesthetic challenges in carotid body tumour resection: a case report and review of literature

Cited by 2 publications

References 10 publications

Carotid Body Tumor Resection – A Case Report

Carotid Body Tumor Resection – A Case Report

Anesthetic aspects of the resection of hormone-active carotid chemodectomas: a clinical case and literature review

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