title: [Perianesthetic management of carcinoid syndrome: contribution of the bispectral EEG index].
abstract: 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.
authors.affiliation: Service d'anesthésie, institut Gustave-Roussy, Villejuif, France.
authors.forename: F
authors.initials: F
authors.lastname: Capron
authors.forename: S
authors.initials: S
authors.lastname: Fialip
authors.forename: I
authors.initials: I
authors.lastname: Guitard
authors.forename: P
authors.initials: P
authors.lastname: Lasser
authors.forename: V
authors.initials: V
authors.lastname: Billard
mesh_terms: 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
chemical_list: 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