title: Management of bronchial carcinoid: An anaesthetic challenge.
abstract: Carcinoid tumours pose a great challenge to anaesthesiologist, especially if carcinoid syndrome is present. We report peri-operative management of a patient with carcinoid syndrome who underwent upper lobectomy. Pre-operative optimisation for 10 days before surgery with injection octreotide and administration on the day of surgery as per guidelines was followed (North American Neuroendocrine Tumour Society guidelines). Our main goals were to prevent mediator release, avoidance of triggering factors and management of peri-operative carcinoid crisis. During tumour handling patient developed carcinoid crisis which was effectively treated with intravenous bolus octreotide and increasing rate of infusion.
authors: Department of Anaesthesiology and Critical Care, Lady Hardinge Medical College, New Delhi, India.
authors: Prasoon
authors: P
authors: Gupta
authors: Department of Anaesthesiology and Critical Care, Lady Hardinge Medical College, New Delhi, India.
authors: Ranvinder
authors: R
authors: Kaur
authors: Department of Anaesthesiology and Critical Care, Lady Hardinge Medical College, New Delhi, India.
authors: Lalita
authors: L
authors: Chaudhary
authors: Department of Anaesthesiology and Critical Care, Lady Hardinge Medical College, New Delhi, India.
authors: Aruna
authors: A
authors: Jain
keywords: Bronchial carcinoid; carcinoid syndrome; octreotide