General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report

Detalhes bibliográficos
Autor(a) principal: Fernandes, Mariana
Data de Publicação: 2022
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25751/rspa.25866
Resumo: Introduction: Carcinoid tumors have the potential to metastasize and the ability to secrete bioactive substances. Carcinoid crisis is a serious event that may be triggered during anesthesia. It is a challenge to the anesthesiologist because it can provoke oscillations of blood pressure, flushing, bronchospasm and arrhythmias. Case Report: We report our anesthetic management of a 63-year-old male with a lung carcinoid tumor with liver and bone metastases that was submitted to surgical correction of bilateral inguinal hernia. Octreotide infusion was initiated at 25 µg/h preoperatively and was maintained for 24 hours after the surgery. There were no complications, with hemodynamic and ventilatory stability. Discussion: Carcinoid crisis is a life-threatening complication. The anesthesiologist must focus on preventing stressful situations that can provoke the release of bioactive substances. Octreotide is the drug of choice to prevent and treat carcinoid crisis and should be readily available for patients with carcinoid tumors.
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spelling General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case reportInglêsCaso ClínicoIntroduction: Carcinoid tumors have the potential to metastasize and the ability to secrete bioactive substances. Carcinoid crisis is a serious event that may be triggered during anesthesia. It is a challenge to the anesthesiologist because it can provoke oscillations of blood pressure, flushing, bronchospasm and arrhythmias. Case Report: We report our anesthetic management of a 63-year-old male with a lung carcinoid tumor with liver and bone metastases that was submitted to surgical correction of bilateral inguinal hernia. Octreotide infusion was initiated at 25 µg/h preoperatively and was maintained for 24 hours after the surgery. There were no complications, with hemodynamic and ventilatory stability. Discussion: Carcinoid crisis is a life-threatening complication. The anesthesiologist must focus on preventing stressful situations that can provoke the release of bioactive substances. Octreotide is the drug of choice to prevent and treat carcinoid crisis and should be readily available for patients with carcinoid tumors.Introdução: Os tumores carcinóides têm capacidade de metastização e de secretar substâncias bioativas. A crise carcinóide é um evento grave que pode ser desencadeado durante a anestesia. É um desafio para o anestesiologista, pois pode provocar oscilações da pressão arterial, rubor, broncoespasmo e arritmias. Caso Clínico: Descrevemos o manuseio anestésico de um homem de 63 anos com tumor carcinóide pulmonar com metástases hepáticas e ósseas que foi submetido à correção cirúrgica de hérnia inguinal bilateral. A perfusão de octreotido foi iniciada a 25 µg/h no pré-operatório e mantida por 24 horas após a cirurgia. Não houve complicações, mantendo-se estabilidade hemodinâmica e ventilatória. Discussão: A crise carcinóide acarreta risco de vida. O anestesiologista deve focar-se na prevenção de situações que podem provocar a libertação de substâncias bioativas. O octreotido é o fármaco de escolha para prevenir e tratar crises carcinóides e deve estar prontamente disponível para estes pacientes.Sociedade Portuguesa de Anestesiologia2022-06-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.25866eng0871-6099Fernandes, Marianainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-23T15:34:54Zoai:ojs.revistas.rcaap.pt:article/25866Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:04:20.833799Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report
Inglês
title General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report
spellingShingle General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report
Fernandes, Mariana
Caso Clínico
title_short General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report
title_full General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report
title_fullStr General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report
title_full_unstemmed General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report
title_sort General Anesthesia in a patient with a lung carcinoid tumor with hepatic and bone metastases: a case report
author Fernandes, Mariana
author_facet Fernandes, Mariana
author_role author
dc.contributor.author.fl_str_mv Fernandes, Mariana
dc.subject.por.fl_str_mv Caso Clínico
topic Caso Clínico
description Introduction: Carcinoid tumors have the potential to metastasize and the ability to secrete bioactive substances. Carcinoid crisis is a serious event that may be triggered during anesthesia. It is a challenge to the anesthesiologist because it can provoke oscillations of blood pressure, flushing, bronchospasm and arrhythmias. Case Report: We report our anesthetic management of a 63-year-old male with a lung carcinoid tumor with liver and bone metastases that was submitted to surgical correction of bilateral inguinal hernia. Octreotide infusion was initiated at 25 µg/h preoperatively and was maintained for 24 hours after the surgery. There were no complications, with hemodynamic and ventilatory stability. Discussion: Carcinoid crisis is a life-threatening complication. The anesthesiologist must focus on preventing stressful situations that can provoke the release of bioactive substances. Octreotide is the drug of choice to prevent and treat carcinoid crisis and should be readily available for patients with carcinoid tumors.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-30T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25751/rspa.25866
url https://doi.org/10.25751/rspa.25866
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0871-6099
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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