Carcinoid tumor and intravenous octreotide infusion during labor and delivery.
There are limited numbers of reports concerning the management of pregnancy complicated by carcinoid tumors. Octreotide, the synthetic analogue of somatostatin, has been found to be beneficial in preventing the perioperative exacerbation of carcinoid syndrome. We present a case of the successful use of neuraxial analgesia/anesthesia for labor and vaginal delivery in a symptomatic parturient afflicted with carcinoid syndrome, who received an intravenous infusion of octreotide throughout labor and vaginal delivery.
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Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Bharadwaj
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Malinow
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D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage / Q000627:therapeutic use*; D002276:Carcinoid Tumor / Q000150:complications* / Q000188:drug therapy*; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D015282:Octreotide / Q000008:administration & dosage / Q000627:therapeutic use*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000188:drug therapy*
D018931:Antineoplastic Agents, Hormonal; D015282:Octreotide