Anesthetic management of an infant undergoing radical nephrectomy for Wilms tumor: a case report.
Wilms tumor (WT), also called nephroblastoma, is a solid, malignant renal mass that can sometimes grow so large it spreads outside the kidney and invades other structures. Most experts recommend complete tumor resection as a primary intervention. The clinical manifestations caused by the WT most significantly hypertension, can appear as a barrage of pathophysiological events to the nurse anesthetist. The case presented involves an 8-week-old infant who underwent a radical nephrectomy because of a WT. The occurrence, symptoms, pathophysiology, and intraoperative anesthetic management of WT are discussed.
Goodrich
Markus
M
Memorial Hospital, Chattanooga, Tennessee, USA.
Keatley
Virginia
V
Norwood
Barbara
B
D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods / Q000451:nursing*; D001706:Biopsy; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D007223:Infant; D007430:Intraoperative Care / Q000379:methods / Q000451:nursing*; D007680:Kidney Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D009367:Neoplasm Staging; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods / Q000451:nursing*; D009719:Nurse Anesthetists / Q000458:organization & administration*; D009730:Nursing Assessment; D011300:Preoperative Care / Q000379:methods / Q000451:nursing; D011379:Prognosis; D035583:Rare Diseases; D012083:Renin / Q000502:physiology; D009396:Wilms Tumor / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
D012083:Renin