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Arora, K. K.
- Pseudopancreatic Cyst in a Patient with Hypertrophic Cardiomyopathy
Abstract Views :247 |
PDF Views:93
Authors
Affiliations
1 M.G.M Medical College & M.Y Hospital, Indore, IN
1 M.G.M Medical College & M.Y Hospital, Indore, IN
Source
Central Journal of ISA, Vol 1, No 1 (2017), Pagination: 34-35Abstract
Hypertrophic cardiomyopathy (HCM) is a rare genetic disorder characterised by massive myocardial hypertrophy leading to left ventricular outflow tract obstruction. Clinical presentation ranges from absence of symptoms to sudden death. A 17 yr old male patient, known case of hypertrophic cardiomyopathy was posted for excision of pseudopancreatic cyst. Anaesthetic management of these patients poses considerable challenges. Factors like tachycardia, hypovolemia, vasodilatation and increased cardiac contractility lead to exacerbation of the obstruction.Keywords
Anaesthesia, Hypertrophic Cardiomyopathy, Pseudo-Pancreatic Cyst.References
- Wigle ED, Rakowski H, Kimball BP, Williams WG. Hypertrophic obstructive cardiomyopathy: clinical spectrum and treatment. Circulation 1995; 92:1680–92.
- Chang KH, Sano E, Saitoh Y, Hanaoka K. Anesthetic management of patients with hypertrophic obstructive cardiomyopathy undergoing non-cardiac surgery. Masui 2004; 53(8):934–42.
- Davies MR, Cousins J. Cardiomyopathy and anaesthesia CEACCP 2009; 9:189–93.
- Patil S, Ninan B. Anaesthetic management of a patient with hypertrophic obstructive cardiomyopathy with AICD for septal myectomy with mitral valve replacement and CABG. Ann Card Anaesth 2005; 8:55–7.
- Konstadt S. Anesthesia for non-cardiac surgery in the patient with cardiac disease. Can J Anesth 2005; 52:R1–R3.
- Singh KV, Shastri C, Raj V, Patil Y, Dav ES, Dewoolkar LV. Anaesthetic management of a case of hypertrophic obstructive cardiomyopathy for non cardiac surgery. The Internet Journal of Anesthesiology 2007; 12(2). ISSN: 1092-406.
- Chang KH, Sano E, Saitoh Y, Hanaoka K. Anesthetic management of patients with hypertrophic obstructive cardiomyopathy undergoing non-cardiac surgery. Masui 2004; 53(8):934–42. [Abstract]
- Hreybe H, Zahid M, Sonel A, Good CB, Shaver J, Saba S. Noncardiac surgery and the risk of death and other cardiovascular events in patients with hypertrophic cardiomyopathy. ClinCardiol 2006; 29(2):65–8.
- Anaesthetic Management of Pheochromocytoma in a Child
Abstract Views :327 |
PDF Views:107
Authors
Affiliations
1 Department of Anaesthesiology, MGM Medical College and M Y Hospital, Indore, IN
1 Department of Anaesthesiology, MGM Medical College and M Y Hospital, Indore, IN
Source
Central Journal of ISA, Vol 1, No 1 (2017), Pagination: 36-38Abstract
Pheochromocytomas are an unusual tumour in paediatric age group. A 6 year old hypertensive boy with left sided pheochromocytoma was scheduled for excision of tumour. He had presented with complaints of pain in abdomen, excessive sweating, headache and raised blood pressure. Diagnosis was confirmed by CT scan (abdomen) and raised 24 hour urinary catecholamine levels. Preoperative blood pressure was controlled with prazosin (α-adrenergic blocker) and propranolol (β-adrenergic blocker). The anaesthetic technique used was general anaesthesia with caudal catheter. Child was later discharged on oral antihypertensive.Keywords
Pheochromocytoma, Paediatric Hypertension.References
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- Pullertis J, Sigmud E, Williamson S. Anaesthesia for phaeochromocytoma Can J Anaesth 1988; 35(5):526–34.
- Wallece JM, Gill DP. Prazosin in diagnosis and management of phaeochromocytoma. JAMA 1978; 240:2752–3.
- Brunell BR Jr. Anestesia for phaeochromocytoma. In: Prys RC, Brunell BR Jr editors. International practice of anaesthesia. Published- butterworthHeinemann 1996; 1/83/1-7.
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- Ein SH, Pullertis J, Creighton R, Bafe JW. Paediatric phaeochromocytoma. A 36 year review. Paediatric surgery Internal 1997; 12(B):595–8.
- Foex P. Drugs acting on cardiovascular system.Wylieandchurchill Davidson’s A practice of anesthesia. Published: Edword Arnold. 6th ed. 1995; 189–216.
- Rosei EA et al. Treatment of pheochromocytoma and clonidine withdrawal hypertension with labetalol. British Journal of Clinical Pharmacology. Supplement. 1976; 809–15.
- Takeda T et al. The use of labetalol in Japan: Results of multicentre clinical trials. British Journal of Clinical Pharmacology. 1982; 13(Suppl 1):495–595.
- Stratum MV et al. Use of labetalol during anesthesia for pheochromocytoma removal. Acta Anaesthesiologica Belgica. 1983; 34:233–40.
- Kobayashi K et al. Falsely high urinary catecholamines induced by labetalol. Tohoku Journal of Experienced Medicine. 1979; 127:63–9.
- Kaufman L. Use of labetalol during hypotensive anaesthesia and in the management of pheochromocytoma. British Journal of Clinical Pharmacology. 1979; 8:229S–232S.
- DalPalu C et al. Intravenous labetalol in severe hypertension.British Journal of Clinical Pharmacology. 1982;13(Suppl):97–9.
- Feek CM, Earnshaw PM. Hypertensive response to labetalol in pheochromocytoma. British Medical Journal of Medical Pharmacology. 1980; 2:387.
- Briggs RSJ, Birtwell AJ, Pohl JEF. Hypertensive response to labetalol in pheochromocytoma. Lancet 1978; 1:1,045-1,046. (27)
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- Poonam G, Gorgia AR, Wason R et al. Anaesthetic management of bilateral phaeochromocytoma in a child - A Case Report. Indian J Anaesth 2005; 49(1):54–5.