[Perianesthetic management of carcinoid syndrome: contribution of the bispectral EEG index].
This case report described the perioperative management of a patient undergoing laparotomy for ileal carcinoid tumor with liver metastases and preoperative carcinoid syndrome. During surgery, bispectral index monitoring, combined with classical blood pressure and heart rate, allowed to discriminate hypertension related to the carcinoid syndrome, from hypertension reflecting an inadequate level of anaesthesia. Consequently, adequate treatment by a somastotatin analogue could be early administered.
Capron
F
F
Service d'anesthésie, institut Gustave-Roussy, Villejuif, France.
Fialip
S
S
Guitard
I
I
Lasser
P
P
Billard
V
V
D000759:Adjuvants, Anesthesia; D000769:Anesthesia, Inhalation; D018685:Anesthetics, Inhalation; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001279:Atracurium; D002276:Carcinoid Tumor / Q000150:complications / Q000556:secondary / Q000601:surgery*; D004569:Electroencephalography; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000517:prevention & control*; D007078:Ileal Neoplasms / Q000150:complications / Q000601:surgery*; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control*; D007530:Isoflurane; D007813:Laparotomy; D008113:Liver Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D003473:Neuromuscular Nondepolarizing Agents; D010456:Peptides, Cyclic / Q000627:therapeutic use; D011229:Preanesthetic Medication; D013004:Somatostatin / Q000031:analogs & derivatives / Q000627:therapeutic use; D017409:Sufentanil
D000759:Adjuvants, Anesthesia; D018685:Anesthetics, Inhalation; D000970:Antineoplastic Agents; D003473:Neuromuscular Nondepolarizing Agents; D010456:Peptides, Cyclic; C060347:lanreotide; D001279:Atracurium; D013004:Somatostatin; D017409:Sufentanil; D007530:Isoflurane