Anaesthetic management of a patient with adrenocortical tumour

Abstract

Adrenocortical tumours in children are rare. They produce many changes in haemodynamics and blood chemistry due to hormones of the adrenal cortex. The details of perioperative management and the need for perioperative steroid supplementation are discussed.

Diagnosis of adrenocortical tumor in a neonate by detection of elevated blood 17-hydroxyprogesterone measured as a routine neonatal screening for congenital adrenal hyperplasia: a case report

“…Patients displaying ACT with cushingoid features are, thus, routinely treated with perioperative steroid replacement [18,19]. The necessity of steroid replacement for ACT with marginal hypercortisolism without apparent clinical cushingoid symptoms remains a matter of discussion [20,21]. However, considering the life-threatening consequences of adrenal insufficiency in early infancy, we suggest perioperative steroid replacement to secure safe perioperative management for newborns with ACT.…”

Anesthetic management of a child with functional adrenocortical tumor for resection

“…In a pediatric patient with hyperaldosteronism for ACT surgery, Vas et al. (5) initially used low sodium Isolyte M to offset sodium retention. But on noticing hyponatremia and hypokalemia, they switched to Ringer’s lactate solution with potassium supplementation.…”