Excision of Bilateral Carotid Body Tumours

Connolly, R. A. J.; Baker, A. B.

doi:10.1177/0310057x9502300312

Cited by 7 publications

(2 citation statements)

References 14 publications

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“…Wakefulness has an important stimulatory effect on ventilation. While it appears that chemosensitivity is important for maintaining ventilation during sleep, as indicated by the increased sleep-related hypoventilation seen in patients with carotid body denervation, 22 the effects of sleep on chemoreception are far more complex and dif®cult to de®ne. Standard tests of acute ventilatory responses have demonstrated varying degrees of inhibition, particularly of the response to combined hypoxia and hypercapnia, but these may overestimate the reduction in chemosensitivity as other factors such as increased upper airway resistance, impaired load compensation and changes in cerebral blood¯ow need to be considered.…”

Section: In¯uence Of Agementioning

confidence: 99%

Anaesthesia and sleep apnoea

Loadsman

Hillman

2001

British Journal of Anaesthesia

133

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Sleep disordered breathing is a common problem affecting all age groups, particularly in association with certain other medical conditions and syndromes. The pathological consequences of the disorder may be severe, with significant implications for the perioperative management of sufferers. Research into the effects of surgery and anaesthesia on sleep is very much in its infancy. Understanding of the implications of sleep disturbance and sleep disordered breathing for perioperative morbidity and mortality is limited. While several observations have led to considerable speculation in the literature, evidence of a causal relationship is still largely lacking. Anaesthetists are ideally placed to screen large numbers of people for sleep disordered breathing, a source of considerable community morbidity. Recognizing the symptoms, signs and associations of the condition during the preoperative visit is important in planning management, as is recognition of the likelihood of OSA in patients who present difficulty with tracheal intubation or airway maintenance. Particular care is required in the perioperative management of patients with diagnosed or suspected sleep apnoea.

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Section: In¯uence Of Agementioning

confidence: 99%

Anaesthesia and sleep apnoea

Loadsman

Hillman

2001

British Journal of Anaesthesia

133

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“…Sukanya et al [14] emphasized the possibility of intraoperative rapid blood loss due to involvement of the carotid artery and jugular veins in Type 2 and Type 3. Rapid blood loss of 1 liter has been reported in the literature [15]. If there is a risk of rapid blood loss, a blood vessel ligation band and atraumatic hemostatic forceps should be prepared before surgical separation.…”

Section: Discussionmentioning

confidence: 99%

Comparison of sedoanalgesia versus general anesthesia in surgical resection of carotid body tumors: A retrospective cohort study

Kalko¹,

Gencer²,

Çuğlan³

et al. 2021

Journal of Surgery and Medicine

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Background/Aim: Carotid body tumors (CBTs) are very rare. There is no uniform agreement on the method of anesthesia according to the Shamblin classification. The aim of this study was to report and compare outcomes and complications of different anesthesia methods according to the Shamblin classification in patients operated for CBTs. Methods: The data of 52 patients (40 males, 12 females) diagnosed with CBT Shamblin Type 1 or Type 2 and surgically treated were enrolled. General anesthesia (Group G) and sedoanalgesia (Group S) were administered in 35 and 17 patients, respectively. We retrospectively compared the surgical outcomes and complications between the groups to evaluate which anesthetic approach was more appropriate for early recognition of complications, hemodynamic stability, and surgical satisfaction in CBT surgeries. Results Group S patients were more stable hemodynamically. Hypertension, tachycardia, hypotension were significantly more frequent in Group G (P<0.001). Intraoperative blood loss was significantly less in the Group S (P=0.024). Both patient and surgeon satisfaction scores were significantly higher in Group S (P=0.071). In Group G, transient ischemic attack developed in 1 patient, postoperative dysphagia developed in 4 patients due to possible nerve injury during resection. Deviation and ptosis of the tongue due to facial nerve damage developed in 3 patients in Group G and in 2 patients in Group S (P=0.028). Conclusions: Sedoanalgesia may be more helpful for patients compared to general anesthesia in tumor surgery of patients with CBT classified as Shamblin Type 1 and 2.

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Anesthesia for head and neck surgery

Healy¹,

Bradford²

2012

Anesthesia for Otolaryngologic Surgery

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Excision of Bilateral Carotid Body Tumours

Cited by 7 publications

References 14 publications

Anaesthesia and sleep apnoea

Anaesthesia and sleep apnoea

Comparison of sedoanalgesia versus general anesthesia in surgical resection of carotid body tumors: A retrospective cohort study

Anesthesia for head and neck surgery

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